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North Dakota 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
$198.33 / $310.57 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.87 / $261.45 / $310.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.71 / $491.06 / $705.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.58 / $568.58 / $928.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.33 / $310.57 / $594.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.27 / $532.66 / $3,405.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.86 / $483.94 / $807.40