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Alabama 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
$575.44 / $1,445.44 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $30.20 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,235.94 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $26.92 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $28.18 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $588.84 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $28.18 / $39.81