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Nevada 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
$94.72 / $1,639.00 / $4,396.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.89 / $88.56 / $296.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.00 / $333.00 / $333.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.56 / $71.54 / $131.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.42 / $75.48 / $128.69
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.89 / $75.30 / $153.22
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $47.66 / $150.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,427.00 / $1,998.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.14 / $96.40 / $168.21