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Massachusetts 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
$20.52 / $2,079.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $20.82 / $51.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.44 / $627.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $37.00 / $3,511.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.98 / $24.69 / $43.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.60 / $32.61 / $68.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.62 / $168.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.79 / $33.43 / $46.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.48 / $42.86 / $66.23
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.35 / $1,145.16 / $1,810.69
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.10 / $154.10 / $154.10
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $966.90 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.06 / $46.72 / $3,930.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.44 / $38.90 / $72.29