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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
$25.12 / $2,691.53 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $21.88 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $27.54 / $42.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $40.74 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $35.48 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $537.03 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $26.92 / $38.90