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Massachusetts rates for HCPCS 15261

Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)

Facilitymedian $1,995 · 10th–90th $155$3,7150%5%10%10th90th$1,995Professionalmedian $219 · 10th–90th $123$5010%5%10%10th90th$219$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $2,818.38 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $190.55 / $489.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $1,995.26 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $245.47 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $251.19 / $501.19
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $165.96 / $3,630.78
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $275.42 / $363.08
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $251.19 / $524.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $1,995.26 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $245.47 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $257.04 / $489.78