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Kansas 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
$408.01 / $3,600.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.53 / $266.32 / $418.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $1,699.50 / $2,471.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.64 / $338.41 / $494.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.04 / $332.25 / $478.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $334.84 / $4,678.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.61 / $391.43 / $3,837.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $3,647.00 / $6,988.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $360.64 / $491.15