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New York 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 $3,090 · 10th–90th $40$7,4130%10%10th90th$3,090Professionalmedian $31 · 10th–90th $21$830%20%10th90th$31$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$35.48 / $2,818.38 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $29.51 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.11 / $74.13
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $1,258.93 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $42.66 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $40.74 / $83.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $25.70 / $60.26
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $46.77 / $72.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $34.67 / $60.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $4,677.35
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $45.71 / $52.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,511.89 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $34.67 / $87.10
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $26.30 / $47.86
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $34.67 / $67.61