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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)

Facilitymedian $1,862 · 10th–90th $30–$5,0120%20%10th90th$1,862Professionalmedian $30 · 10th–90th $21–$560%20%10th90th$30$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$30.20 / $1,862.09 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $29.51 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $32.36 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $32.36 / $47.86
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $33.88 / $52.48
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $32.36 / $50.12
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $33.11 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $1,047.13 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $34.67 / $64.57