go back

Minnesota 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 $102 · 10th–90th $23–$2880%10%10th90th$102Professionalmedian $54 · 10th–90th $24–$1070%10%10th90th$54$1.0$5.0$20.0$100.0$500.0$2.0K

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
$0.83 / $22.91 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $28.84 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $151.36 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $63.10 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $117.49 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $83.18 / $138.04
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $114.82 / $223.87
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $79.43 / $128.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $47.86 / $562.34
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $64.57 / $2,187.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $2,089.30 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $56.23 / $107.15