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Washington, DC rates for HCPCS 15760

Graft Composite W/Primary Closure Donor Area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.31 / $3,575.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.25 / $737.49 / $922.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.79 / $778.79 / $2,642.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.57 / $808.94 / $2,219.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.31 / $1,962.80 / $1,962.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $1,171.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.86 / $954.90 / $2,268.17