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Rhode Island rates for HCPCS 15760

Graft Composite W/Primary Closure Donor Area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.58 / $715.35 / $896.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.00 / $887.73 / $1,225.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.03 / $958.43 / $1,735.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.00 / $4,049.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.08 / $1,028.07 / $1,859.64