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Wyoming 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
$16.75 / $17.61 / $24.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $44.00 / $58.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.10 / $31.97 / $48.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $45.00 / $88.00