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Nationwide rates for HCPCS C5278

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; Each Additional 100 Sq Cm Wound Surfacearea 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.00 / $3,007.00 / $7,572.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.50 / $2,741.50 / $7,426.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,282.50 / $3,118.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $8.01 / $8.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.92 / $1,110.00 / $1,110.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.50 / $1,189.50 / $2,699.00