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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
$416.87 / $3,388.44 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $288.40 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,265.80 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $316.23 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $870.96 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $371.54 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,884.03 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $323.59 / $602.56