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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.27 / $15.27 / $22.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $24.82 / $38.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.66 / $28.24 / $60.41