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Arizona 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)

Facilitymedian $1,047 · 10th–90th $275–$2,0420%5%10th90th$1,047Professionalmedian $18 · 10th–90th $14–$680%10%20%10th90th$18$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $1,230.27 / $2,238.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $18.20 / $67.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $954.99 / $2,041.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $707.95 / $1,584.89