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Georgia 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
$660.69 / $3,162.28 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $138.04 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $87.10 / $151.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,884.03 / $4,786.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $144.54 / $223.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $147.91 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $141.25 / $295.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $177.83 / $478.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $190.55 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,090.30 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $154.88 / $295.12