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New Jersey 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
$2,041.74 / $7,079.46 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $512.86 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $602.56 / $1,174.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $660.69 / $724.44
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $11,748.98 / $18,620.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $7,413.10 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $426.58 / $933.25