go back

Alabama rates for HCPCS 15769

Grafting Of Autologous Soft Tiss By Direct Exc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.90 / $1,525.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.76 / $452.90 / $566.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.25 / $3,164.02 / $4,256.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.68 / $463.95 / $547.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.65 / $452.31 / $542.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $3,129.00 / $5,251.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.15 / $463.95 / $651.41