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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)

Facilitymedian $72 · 10th–90th $14–$9,7720%5%10%10th90th$72Professionalmedian $35 · 10th–90th $15–$830%5%10%10th90th$35$20.0$100.0$500.0$2.0K$10.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $23.99 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $26.92 / $85.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $35.48 / $120.23
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $57.54 / $85.11
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $79.43 / $102.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $25.12 / $120.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $36.31 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $42.66 / $72.44