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Missouri 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

Facilitymedian $537 · 10th–90th $32–$1,6220%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
$27.54 / $181.97 / $1,348.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $707.95 / $3,090.30