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Oklahoma 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
$25.12 / $1,445.44 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $20.89 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $5,754.40 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.99 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $26.30 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $30.90 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $29.51 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $630.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $22.91 / $34.67