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Minnesota rates for HCPCS 15760

Graft Composite W/Primary Closure Donor Area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.02 / $829.51 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.02 / $829.51 / $1,281.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.60 / $3,057.02 / $6,480.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.02 / $1,720.07 / $2,899.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,095.55 / $2,971.75 / $7,148.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.74 / $2,291.39 / $3,588.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.53 / $2,716.90 / $5,629.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.24 / $2,038.10 / $3,372.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.96 / $1,250.34 / $2,218.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.32 / $1,697.44 / $5,194.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.88 / $1,763.45 / $3,248.77