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Wyoming 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
Professional
Modifier
Low / Median / High Price
$55.51 / $56.69 / $95.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.00 / $156.00 / $223.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.53 / $105.33 / $154.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.04 / $162.87 / $289.08