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Connecticut 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
$1,380.38 / $4,677.35 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $138.04 / $371.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $4,168.69 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $141.25 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $177.83 / $323.59
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $186.21 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $6,025.60 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $151.36 / $275.42