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Connecticut 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
$3,890.45 / $6,025.60 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $616.60 / $1,584.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $12,302.69 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $1,000.00 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $8,709.64 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $954.99