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Virginia 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 $214 · 10th–90th $19–$5,7540%5%10%10th90th$214Professionalmedian $26 · 10th–90th $15–$510%10%20%10th90th$26$10.0$50.0$200.0$1.0K$5.0K

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
$21.38 / $812.83 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $26.92 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$26.30 / $39.81 / $61.66
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $24.55 / $43.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $30.20 / $36.31
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $23.99 / $38.90
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $23.44 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $35.48 / $4,073.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $1,047.13 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $25.70 / $44.67