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Delaware 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
$84.64 / $353.42 / $8,796.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.59 / $126.56 / $137.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.67 / $126.78 / $204.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,766.11 / $8,766.11 / $8,766.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.86 / $173.01 / $346.02