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Florida 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
$70.34 / $3,000.00 / $10,632.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.27 / $70.34 / $102.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.20 / $81.96 / $133.11
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.00 / $2,674.00 / $6,696.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.29 / $72.26 / $110.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.56 / $96.36 / $133.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $4,970.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.91 / $86.37 / $147.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.64 / $72.00 / $72.00