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Washington, DC 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
$707.95 / $4,073.80 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $741.31 / $1,819.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,659.59 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $851.14 / $1,819.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,584.89 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $8,128.31 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $812.83 / $1,862.09