go back

Mississippi 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
$79.43 / $954.99 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $77.62 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $87.10 / $154.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $588.84 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $85.11 / $138.04