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Nevada 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
$22.91 / $1,698.24 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $20.89 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $13.18 / $19.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $23.44 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$21.88 / $28.18 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $23.99 / $33.88
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $24.55 / $39.81
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $21.88 / $38.02
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $25.70 / $35.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $1,288.25 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $26.30 / $41.69