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Missouri 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 $537 · 10th–90th $38$1,3490%10%10th90th$537$50.0$200.0$1.0K$5.0K

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
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $102.33 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $707.95 / $3,090.30