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Florida 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
$425.85 / $4,755.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.80 / $431.22 / $638.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $1,951.00 / $2,322.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.15 / $527.61 / $799.92
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,855.00 / $12,742.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.91 / $382.18 / $575.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.80 / $410.48 / $615.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.00 / $8,267.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.14 / $464.46 / $839.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.52 / $372.52 / $372.52