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Washington, DC 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
$1,174.90 / $3,467.37 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $489.78 / $1,071.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $2,818.38 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $537.03 / $1,258.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $549.54 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $14,791.08 / $26,915.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $501.19 / $1,071.52