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Colorado 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
$1,226.00 / $4,955.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.07 / $290.08 / $385.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.73 / $407.95 / $649.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.01 / $353.17 / $513.19
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.66 / $328.84 / $485.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.39 / $363.46 / $666.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.00 / $4,182.00 / $7,179.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.44 / $455.52 / $832.16