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Washington, DC 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
$321.24 / $2,091.98 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.68 / $263.32 / $398.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.01 / $220.01 / $3,307.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.50 / $288.85 / $652.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.74 / $713.86 / $850.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.65 / $317.08 / $824.93