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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
$31.59 / $2,050.00 / $6,911.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.26 / $29.26 / $44.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $1,968.00 / $3,472.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.71 / $32.89 / $52.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.06 / $104.50 / $295.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.04 / $37.92 / $64.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.50 / $1,189.50 / $2,699.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.17 / $40.78 / $71.70