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Florida 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
$231.71 / $4,447.00 / $11,550.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.92 / $248.79 / $379.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $1,951.00 / $2,322.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.66 / $283.56 / $452.84
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,855.00 / $12,742.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.53 / $235.87 / $355.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.57 / $332.85 / $445.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.00 / $8,267.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.35 / $290.83 / $500.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.83 / $232.86 / $232.86