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New Jersey 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)

Facilitymedian $4,571 · 10th–90th $813–$10,4710%10%20%10th90th$4,571Professionalmedian $23 · 10th–90th $14–$680%20%10th90th$23$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $4,677.35 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $22.91 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $27.54 / $50.12
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $30.20 / $41.69
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $25.70 / $47.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,630.27 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $19.05 / $43.65