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Washington, DC 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
$24.53 / $1,793.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.51 / $23.43 / $24.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.07 / $1,575.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.27 / $23.21 / $54.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $56.59 / $67.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.27 / $33.11 / $65.39