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Nevada 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
$309.32 / $2,173.00 / $4,841.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.87 / $263.32 / $481.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,671.00 / $4,589.00 / $6,006.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.58 / $254.56 / $428.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,059.40 / $2,059.40 / $2,059.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.59 / $268.10 / $420.28
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.26 / $301.61 / $1,296.30
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.03 / $4,046.03 / $4,046.03
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.26 / $252.39 / $478.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.00 / $3,060.00 / $9,042.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.85 / $339.34 / $591.82