go back

Arkansas 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
$29.45 / $1,064.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $20.28 / $29.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $24.63 / $32.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.54 / $24.32 / $39.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.55 / $29.04 / $47.41