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Kansas 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
$34.70 / $3,232.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $20.66 / $32.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.68 / $29.03 / $43.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.35 / $28.69 / $42.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $34.94 / $1,087.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.84 / $35.79 / $3,779.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.84 / $30.48 / $47.45