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Georgia 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
$230.45 / $2,950.00 / $6,726.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.20 / $144.31 / $286.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.37 / $2,722.51 / $5,292.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.55 / $167.60 / $288.48
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$156.83 / $251.40 / $432.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.31 / $109.49 / $347.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.29 / $169.90 / $180.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.32 / $154.82 / $302.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.36 / $169.90 / $492.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.56 / $197.46 / $272.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.00 / $3,250.00 / $5,272.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.33 / $228.03 / $353.74