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Alaska rates for HCPCS 15271

Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $6,309.57 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $123.03 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $478.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $154.88 / $2,691.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $295.12 / $478.63
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $363.08 / $630.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $154.88 / $724.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $158.49 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $229.09 / $380.19