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Indiana rates for HCPCS C5274

Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)

Facilitymedian $7,413 · 10th–90th $2,239–$8,1280%20%40%10th90th$7,413$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $7,413.10 / $8,128.31