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Nevada 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
$1,210.00 / $2,301.00 / $5,181.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.91 / $134.77 / $257.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,072.00 / $3,931.00 / $5,258.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.65 / $131.90 / $215.12
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$186.23 / $219.10 / $379.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.59 / $93.59 / $93.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.72 / $140.02 / $225.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.07 / $125.44 / $240.54
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,021.63 / $2,021.63 / $2,021.63
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.07 / $124.61 / $153.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.00 / $2,200.00 / $6,317.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.32 / $174.72 / $314.30