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North Carolina rates for HCPCS 15769

Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)

Facilitymedian $4,786 · 10th–90th $468–$8,7100%10%20%10th90th$4,786Professionalmedian $501 · 10th–90th $363–$1,0230%20%10th90th$501$0.5$5.0$50.0$500.0$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $4,786.30 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $478.63 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $575.44 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $676.08 / $1,047.13
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $501.19 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $9,549.93 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $501.19 / $1,000.00
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $10,964.78 / $10,964.78
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $4,073.80