go back

Missouri 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
$1,023.29 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $2,089.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $977.24 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,148.15 / $11,748.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,148.15 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,412.54 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,412.54