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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
$80.79 / $784.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.18 / $81.54 / $178.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $144.00 / $144.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.82 / $87.64 / $153.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $529.00 / $1,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.02 / $93.55 / $194.30