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Connecticut 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
$379.33 / $4,530.56 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.64 / $257.63 / $496.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.00 / $9,678.00 / $12,904.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.72 / $294.95 / $428.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.34 / $364.60 / $595.74
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.23 / $367.33 / $383.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,325.00 / $8,250.00 / $11,880.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.13 / $386.74 / $621.42