go back

New York rates for HCPCS 15276

Sub Grft F/S/N/H/F/G/M/D<100sq Cm Ea Addl25sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.38 / $2,782.41 / $7,307.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.26 / $29.69 / $58.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,382.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.58 / $30.73 / $68.80
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.36 / $1,254.00 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.36 / $35.36 / $46.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.41 / $42.41 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.89 / $38.09 / $82.76
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $30.75 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.85 / $43.88 / $91.98
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.61 / $30.91 / $59.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,221.50 / $2,221.50 / $2,221.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.41 / $555.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.19 / $42.09 / $87.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.99 / $40.06 / $87.55
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.60 / $26.60 / $50.96
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.61 / $34.74 / $76.22