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Georgia 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
$741.31 / $3,388.44 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $275.42 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $97.72 / $131.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,311.31 / $6,025.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $309.03 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $302.00 / $602.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $363.08 / $954.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $380.19 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $5,754.40 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $346.74 / $645.65