search again

Nationwide rates for HCPCS C5275

Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.00 / $2,882.30 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.58 / $27.58 / $35.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $2,971.00 / $4,143.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $8.01 / $8.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.44 / $536.76 / $624.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.50 / $1,189.50 / $2,699.00