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Colorado 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
$162.88 / $3,008.00 / $7,617.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.91 / $134.77 / $183.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.31 / $180.53 / $299.14
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$113.81 / $195.11 / $312.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.41 / $170.91 / $241.28
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.13 / $148.36 / $228.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.41 / $166.06 / $313.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.00 / $4,182.00 / $7,179.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.68 / $211.50 / $333.99