go back

Arkansas rates for HCPCS 15769

Grafting Of Autologous Soft Tiss By Direct Exc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.49 / $1,821.00 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.54 / $446.98 / $541.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.46 / $3,308.46 / $3,970.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.53 / $580.66 / $683.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.18 / $530.72 / $731.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,314.00 / $5,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.17 / $531.79 / $881.08