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Delaware 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
$440.49 / $722.47 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.40 / $171.40 / $281.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.82 / $302.80 / $425.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.76 / $327.20 / $440.15