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Minnesota 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
$77.62 / $151.36 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $128.82 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $3,548.13 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $263.03 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $575.44 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $338.84 / $645.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $549.54 / $1,071.52
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $316.23 / $575.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $213.80 / $3,311.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $263.03 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $218.78 / $457.09