go back

Colorado rates for HCPCS 15769

Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.50 / $5,310.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.22 / $492.50 / $1,159.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,427.00 / $7,478.00 / $13,989.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.91 / $653.05 / $982.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.72 / $604.17 / $761.36
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.65 / $597.70 / $788.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.07 / $681.38 / $1,800.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,804.00 / $8,586.00 / $15,893.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.60 / $665.28 / $1,178.09