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Texas 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 $1,862 · 10th–90th $25$6,4570%5%10%10th90th$1,862Professionalmedian $23 · 10th–90th $15$480%10%20%10th90th$23$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
$537.03 / $2,290.87 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $21.88 / $51.29
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $19.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $446.68 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.39 / $38.90
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $2,570.40 / $7,943.28
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $26.92 / $41.69
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $107.15
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,890.45
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $31.62 / $3,715.35
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $26.30 / $51.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $32.36 / $33.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $22.39 / $35.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $27.54 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $954.99 / $2,398.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $23.44 / $37.15
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $26.30