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Alabama rates for HCPCS 15760

Graft Composite W/Primary Closure Donor Area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.91 / $1,223.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.36 / $715.35 / $861.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.25 / $3,164.02 / $4,256.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.84 / $908.00 / $1,071.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.29 / $765.96 / $1,635.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,768.00 / $3,360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.40 / $784.08 / $921.21