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Georgia 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
$83.37 / $3,360.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.35 / $83.37 / $136.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,875.00 / $7,875.00 / $7,875.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.97 / $95.39 / $169.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.37 / $88.18 / $180.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $101.12 / $220.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $118.03 / $163.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.00 / $1,580.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.70 / $121.97 / $210.55