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South Carolina 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
$102.33 / $7,762.47 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $72.44 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $758.58 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $81.28 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $87.10 / $123.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $81.28 / $120.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $75.86 / $138.04