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Additional Skin Graft, Nose/Ears/Eyelids/Lips

Michigan rates for HCPCS 15261

An add-on service for placing more full-thickness skin, taken from the patient's own body, to cover additional area beyond the first section already grafted on the nose, ears, eyelids, or lips. It is provided for each extra section covered on these facial features, in addition to the main grafting procedure, and includes closing the donor site. It is used when a wound on these small, cosmetically sensitive areas is larger than a single standard graft can cover.

Facilitymedian $2,884 · 10th–90th $240$4,8980%20%10th90th$2,884Professionalmedian $186 · 10th–90th $117$3550%10%10th90th$186$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$2,884.03
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$177.83
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$630.96
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$2,884.03
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$363.08
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,258.93
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$281.84