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Colorado 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
$915.00 / $3,889.00 / $9,872.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.34 / $28.57 / $38.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.59 / $39.85 / $61.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.71 / $37.67 / $50.19
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.76 / $33.65 / $47.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.85 / $40.39 / $63.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $1,464.00 / $3,011.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.36 / $49.00 / $88.43