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Nationwide rates for HCPCS C5272

Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.50 / $2,505.50 / $7,506.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $36.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.00 / $2,282.50 / $3,118.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $8.01 / $8.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.92 / $1,110.00 / $1,110.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $84.00 / $84.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.50 / $1,189.50 / $2,699.00