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Alaska rates for HCPCS 15272

Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.55 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.51 / $90.79 / $117.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.12 / $46.94 / $84.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.51 / $118.31 / $164.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.43 / $48.51 / $70.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.25 / $72.50 / $105.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.51 / $118.31 / $164.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.36 / $68.40 / $121.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.45 / $67.64 / $70.36