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New Jersey 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

Facilitymedian $5,623 · 10th–90th $813–$10,4710%5%10%10th90th$5,623Professionalmedian $275 · 10th–90th $170–$7240%10%10th90th$275$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $5,495.41 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $263.03 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $309.03 / $588.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $380.19 / $524.81
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $9,120.11 / $15,848.93
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $309.03 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $7,079.46 / $11,220.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $223.87 / $524.81