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New York 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 $3,090 · 10th–90th $28–$7,4130%10%10th90th$3,090Professionalmedian $26 · 10th–90th $15–$710%10%20%10th90th$26$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
$24.55 / $2,754.23 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $69.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $26.92 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$32.36 / $40.74 / $89.13
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $1,258.93 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $34.67 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $30.90 / $61.66
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $17.78 / $44.67
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $36.31 / $53.70
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $26.30 / $45.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $2,238.72
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $35.48 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,511.89 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $25.12 / $66.07
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $17.78 / $33.11
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $26.30 / $52.48