go back

Colorado rates for HCPCS 15278

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; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $3,981.07 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $79.43 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $107.15 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $97.72 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $147.91 / $512.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $93.33 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,479.11 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $102.33 / $169.82