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Louisiana 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
$179.30 / $1,520.00 / $3,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.50 / $127.93 / $217.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.97 / $1,698.68 / $3,899.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.69 / $152.37 / $182.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.62 / $349.62 / $349.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.14 / $131.44 / $205.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.20 / $154.82 / $250.32