go back

Arkansas rates for HCPCS C5271

Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.94 / $1,342.00 / $3,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.50 / $29.94 / $29.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $13.20 / $13.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $858.00