go back

Georgia 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
$1,360.48 / $4,507.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.23 / $466.39 / $917.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.01 / $3,514.57 / $6,339.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.77 / $599.46 / $1,121.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.00 / $574.54 / $1,029.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.05 / $551.29 / $666.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.58 / $719.40 / $864.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,689.00 / $8,836.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.95 / $714.43 / $1,218.93