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Washington, DC rates for HCPCS 15769

Grafting Of Autologous Soft Tiss By Direct Exc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.97 / $3,075.00 / $6,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.54 / $490.12 / $769.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.56 / $516.34 / $5,359.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.59 / $484.02 / $1,245.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.48 / $1,104.81 / $1,104.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.79 / $582.61 / $1,276.70