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North Dakota 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
$15.14 / $22.91 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $20.89 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $42.66 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $42.66 / $66.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $25.70 / $51.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $47.86 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $32.36 / $50.12