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Alabama rates for HCPCS 15273

Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.55 / $960.00 / $1,896.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.06 / $245.33 / $350.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.25 / $3,164.02 / $4,256.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $220.20 / $310.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.95 / $222.67 / $579.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $3,129.00 / $5,251.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.26 / $290.05 / $364.18