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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
$273.86 / $2,950.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.40 / $273.86 / $496.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.01 / $3,514.57 / $6,339.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.07 / $337.72 / $568.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.05 / $310.52 / $596.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.70 / $326.83 / $636.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.02 / $383.29 / $531.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,689.00 / $8,836.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.56 / $436.43 / $704.95