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Massachusetts rates for HCPCS 15760

Graft Composite W/Primary Closure Donor Area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.69 / $2,663.12 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.58 / $771.66 / $1,477.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $3,315.28 / $8,498.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.47 / $1,301.93 / $5,083.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.99 / $1,076.39 / $1,899.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.30 / $1,274.23 / $2,651.10
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.05 / $1,509.76 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.08 / $1,180.66 / $1,629.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.08 / $1,781.54 / $2,605.46
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.55 / $2,941.55 / $2,941.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $4,569.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.12 / $1,600.34 / $6,137.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.71 / $1,234.41 / $2,633.08