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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
$1,584.89 / $4,466.84 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $489.78 / $1,071.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,311.31 / $6,025.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $575.44 / $1,071.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $549.54 / $660.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $707.95 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $5,754.40 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $707.95 / $1,148.15