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North Carolina 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
$123.03 / $501.19 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $131.83 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $117.49 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $144.54 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $154.88 / $288.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $128.82 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $134.90 / $239.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $5,623.41 / $5,623.41
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95