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Wisconsin 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

Facilitymedian $3,890 · 10th–90th $229$6,9180%5%10%10th90th$3,890Professionalmedian $158 · 10th–90th $76$3980%5%10%10th90th$158$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $316.23 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $141.25 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $245.47 / $588.84
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $151.36 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $478.63 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $204.17 / $407.38
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $239.88 / $3,981.07
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $269.15 / $446.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $239.88 / $5,248.07
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $269.15 / $707.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $251.19
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $3,890.45 / $4,570.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $323.59 / $426.58
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $263.03 / $524.81
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $5,623.41
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $181.97 / $3,019.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $288.40
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $354.81 / $660.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,311.31 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $181.97 / $457.09