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Rhode Island 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
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $21.88 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.05 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $30.20 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,412.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $29.51 / $50.12