go back

Georgia 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
$21.66 / $2,434.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.94 / $24.39 / $48.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,875.00 / $7,875.00 / $7,875.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.71 / $29.01 / $47.98
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$28.06 / $43.51 / $71.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.35 / $27.40 / $49.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.96 / $26.11 / $92.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.03 / $30.63 / $42.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.00 / $1,580.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $38.65 / $62.13