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Kansas 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
$1,797.00 / $5,939.00 / $12,237.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.25 / $437.41 / $646.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $1,784.52 / $1,878.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.45 / $711.12 / $711.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.28 / $669.00 / $801.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $646.58 / $5,766.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.90 / $594.78 / $3,547.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $3,647.00 / $6,988.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.19 / $564.10 / $814.81