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Indiana 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
$13.82 / $58.16 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.82 / $19.98 / $23.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $949.00 / $2,956.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $23.85 / $31.56
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$23.09 / $35.78 / $47.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.55 / $19.73 / $30.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.04 / $26.45 / $31.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.70 / $25.22 / $37.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.95 / $30.50 / $47.67