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New Jersey 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
$68.87 / $4,294.00 / $9,950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.75 / $68.87 / $132.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $84.85 / $154.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.93 / $134.10 / $148.57
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.69 / $91.47 / $133.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.55 / $93.16 / $178.43