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Nevada 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
$543.25 / $2,150.00 / $4,730.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.50 / $29.50 / $29.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,779.00 / $3,647.00 / $4,098.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.41 / $345.41 / $345.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $13.20 / $13.20
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.51 / $676.51 / $676.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,427.00 / $1,998.00