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Kansas 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
$112.93 / $3,131.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.66 / $81.62 / $128.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.20 / $93.18 / $141.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.93 / $94.86 / $145.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.86 / $100.81 / $1,087.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.22 / $109.97 / $5,990.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $99.15 / $142.72