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Alabama 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
$89.69 / $775.00 / $1,768.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.75 / $124.94 / $151.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.25 / $3,164.02 / $4,256.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.45 / $105.25 / $162.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.52 / $112.98 / $287.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,738.00 / $3,362.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.03 / $145.51 / $194.02