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Delaware rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.10 / $689.66 / $692.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.38 / $736.04 / $1,046.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.00 / $887.24 / $2,253.21