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Nationwide rates for HCPCS C5277

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 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
$1,532.00 / $3,809.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.17 / $532.17 / $2,843.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.27 / $1,752.27 / $1,752.27