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Florida 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
$19.98 / $3,000.00 / $10,632.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.65 / $21.79 / $32.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $28.80 / $28.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.43 / $23.08 / $39.09
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.00 / $2,674.00 / $6,696.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.93 / $18.80 / $29.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.07 / $21.08 / $34.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $4,970.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.31 / $46.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.77 / $18.64 / $18.64