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Tennessee rates for HCPCS 15760

Graft Composite W/Primary Closure Donor Area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.58 / $2,303.00 / $6,862.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.39 / $744.16 / $984.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.89 / $1,060.89 / $1,060.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.00 / $2,800.00 / $3,681.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.77 / $875.26 / $1,337.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.60 / $909.14 / $2,062.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,808.28 / $4,912.80 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,083.04 / $6,137.60 / $7,145.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,297.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.52 / $914.76 / $1,684.15