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Rhode Island 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
$2,089.30 / $2,754.23 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $281.84 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $234.42 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $338.84 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,128.61 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $338.84 / $562.34