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California rates for HCPCS 15760

Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $6,456.54 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $3,467.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,165.95 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $2,290.87
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,570.40 / $7,762.47
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $933.25 / $1,737.80
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $831.76 / $1,288.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $954.99 / $1,659.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $28,840.32 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $7,079.46 / $7,079.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,202.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,318.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $933.25 / $1,819.70
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,754.23
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,365.16 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,548.82