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Nationwide rates for HCPCS 15277

Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.25 / $2,880.50 / $7,162.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.70 / $288.48 / $515.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $3,693.00 / $5,962.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.76 / $303.65 / $505.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.47 / $1,014.96 / $1,164.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.13 / $350.76 / $614.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.00 / $2,898.50 / $5,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.26 / $381.38 / $726.74