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Massachusetts 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
$1,485.00 / $2,663.12 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.50 / $37.43 / $37.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.00 / $1,818.00 / $3,445.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $13.20 / $13.20
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.00 / $1,818.00 / $3,445.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00