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Nevada 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
$339.59 / $2,138.00 / $4,730.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.07 / $316.33 / $554.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,072.00 / $3,931.00 / $5,258.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.06 / $266.80 / $471.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.25 / $1,032.25 / $1,032.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.42 / $298.75 / $435.49
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.48 / $328.37 / $1,296.30
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,021.63 / $2,021.63 / $2,021.63
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.48 / $290.22 / $536.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.00 / $2,200.00 / $6,317.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.55 / $350.40 / $616.78