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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)

Facilitymedian $977 · 10th–90th $18–$4,8980%10%10th90th$977Professionalmedian $23 · 10th–90th $14–$710%10%10th90th$23$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $41.69 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $21.88 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $2,187.76 / $3,388.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $25.12 / $39.81
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$24.55 / $37.15 / $60.26
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $25.70 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $2,290.87 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $23.44 / $40.74