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Nationwide rates for HCPCS C5273

Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,575.67 / $3,707.12 / $7,720.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,575.67 / $1,575.67 / $2,988.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,142.00 / $7,344.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $8.01 / $8.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.83 / $1,314.83 / $1,674.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.00 / $2,898.50 / $5,558.00