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Nevada rates for HCPCS 15274

Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Facilitymedian $1,738 · 10th–90th $78–$5,0120%20%10th90th$1,738Professionalmedian $65 · 10th–90th $38–$1260%20%10th90th$65$1.0$5.0$20.0$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
$77.62 / $1,862.09 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $63.10 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $64.57 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $72.44 / $107.15
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $58.88 / $134.90
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $56.23 / $128.82
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $83.18 / $107.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $1,047.13 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $74.13 / $141.25