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Florida 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)

Facilitymedian $2,818 · 10th–90th $562–$8,1280%5%10%10th90th$2,818Professionalmedian $29 · 10th–90th $21–$490%20%10th90th$29$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $2,951.21 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $28.84 / $48.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $28.18
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $6,025.60 / $12,302.69
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $28.84 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $32.36 / $54.95
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,884.03 / $6,760.83
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $26.30 / $39.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $32.36 / $47.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,548.82 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $30.20 / $54.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $35.48