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Vermont 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
Professional
Modifier
Low / Median / High Price
$17.89 / $25.80 / $45.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.72 / $26.16 / $68.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.72 / $35.61 / $68.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.93 / $38.75 / $106.83