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Iowa 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
$47.65 / $2,293.00 / $6,298.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.38 / $36.57 / $113.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $45.77 / $69.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.54 / $29.50 / $94.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.08 / $44.44 / $1,607.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $47.09 / $3,376.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.38 / $53.12 / $76.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.97 / $52.16 / $67.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,623.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.07 / $39.38 / $89.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.60 / $34.90 / $50.90