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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.17 / $1,230.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.94 / $24.39 / $35.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.38 / $312.88 / $439.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.46 / $30.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.88 / $70.88 / $70.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $23.47 / $36.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.01 / $27.07 / $56.38