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Oregon 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 $589 · 10th–90th $309–$7,9430%20%10th90th$589Professionalmedian $331 · 10th–90th $178–$6920%5%10%10th90th$331$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
$389.05 / $691.83 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $275.42 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $457.09 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $416.87 / $776.25
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $407.38 / $741.31
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $489.78 / $741.31
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $588.84 / $602.56
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $389.05 / $676.08
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $457.09 / $776.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $11,220.18 / $14,125.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $537.03 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $10,232.93 / $25,118.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $446.68 / $776.25