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Connecticut rates for HCPCS 15769

Grafting Of Autologous Soft Tiss By Direct Exc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,750.00 / $6,374.74 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.85 / $609.26 / $1,188.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.00 / $9,678.00 / $12,904.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.46 / $803.87 / $1,468.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.22 / $699.14 / $1,053.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,325.00 / $8,250.00 / $11,880.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.79 / $590.42 / $1,014.70