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North Carolina 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
$17.26 / $96.48 / $5,449.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.27 / $23.39 / $48.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.09 / $28.80 / $59.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $30.75 / $53.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.26 / $26.78 / $36.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $36.04 / $36.04
Medcost
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$54.08 / $54.08 / $54.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.79 / $28.49 / $62.90
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $80.94 / $80.94
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,511.94 / $3,511.94 / $3,930.43