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Nevada 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
$31.86 / $1,639.00 / $4,396.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.26 / $29.26 / $38.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.00 / $333.00 / $333.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $30.02 / $46.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.53 / $31.47 / $49.03
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $32.71 / $51.04
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $21.66 / $50.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,427.00 / $1,998.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.36 / $39.40 / $1,286.00