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Colorado 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
$302.00 / $3,235.94 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $275.42 / $575.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,549.93 / $17,378.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $363.08 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $338.84 / $489.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $467.74 / $1,659.59
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $302.00 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $8,128.31 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $354.81 / $575.44