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Connecticut rates for HCPCS 15760

Graft Composite W/Primary Closure Donor Area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.17 / $4,722.42 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.01 / $899.89 / $1,636.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $10,956.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.88 / $948.16 / $1,228.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.85 / $1,065.77 / $1,775.87
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.16 / $1,053.13 / $1,100.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,414.00 / $5,950.00 / $9,338.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.86 / $1,032.76 / $1,802.84