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New Mexico 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 $214 · 10th–90th $23–$7,7620%10%10th90th$214Professionalmedian $25 · 10th–90th $16–$450%20%10th90th$25$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$23.44 / $40.74 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $23.99 / $56.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $436.52 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $27.54 / $39.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $32.36 / $35.48
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $25.12 / $45.71
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $28.84 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $1,148.15 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $33.11 / $46.77