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Oregon 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
$44.67 / $72.44 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $30.20 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $51.29 / $81.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $52.48 / $77.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $41.69 / $83.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $57.54 / $81.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $64.57 / $66.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $45.71 / $69.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $63.10 / $81.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $61.66 / $83.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $4,073.80 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $53.70 / $83.18