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Iowa 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
$169.82 / $1,862.09 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $162.18 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $239.88 / $446.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $173.78 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $354.81 / $5,248.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $245.47 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $288.40 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,388.44 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $169.82 / $338.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $177.83 / $323.59