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Nationwide rates for HCPCS 15275

Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $2,570.40 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $138.04 / $354.81
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$588.84 / $588.84 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,265.80 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $154.88 / $295.12
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$144.54 / $229.09 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $323.59 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $173.78 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,691.53 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $147.91 / $275.42