go back

Louisiana 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 $1,175 · 10th–90th $31–$3,7150%10%10th90th$1,175Professionalmedian $23 · 10th–90th $15–$410%20%10th90th$23$0.0$0.2$2.0$20.0$200.0$2.0K

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
$338.84 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $22.91 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $154.88 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $23.44 / $30.90
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $23.44 / $38.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $562.34 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $23.99 / $38.90