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Nationwide rates for HCPCS 15276

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; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $2,630.27 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $28.84 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $3,801.89 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $33.88 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $102.33 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $39.81 / $83.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $1,202.26 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $34.67 / $63.10