go back

Minnesota 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
$15.61 / $23.47 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $23.47 / $36.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $13.52 / $147.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.38 / $45.27 / $82.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.64 / $86.00 / $206.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.81 / $58.09 / $102.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.30 / $78.62 / $162.90
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.06 / $53.11 / $96.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $33.20 / $63.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.13 / $50.69 / $3,376.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.13 / $53.10 / $98.81