go back

New Jersey rates for HCPCS 15760

Graft Composite W/Primary Closure Donor Area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.91 / $4,294.00 / $9,784.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.23 / $734.67 / $1,366.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.08 / $877.63 / $1,668.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.83 / $1,195.36 / $1,344.98
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,075.77 / $8,481.31 / $9,643.75
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.14 / $900.82 / $1,268.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,705.00 / $5,265.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.68 / $761.94 / $1,614.82