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Nevada rates for HCPCS 15769

Grafting Of Autologous Soft Tiss By Direct Exc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.00 / $3,042.00 / $6,953.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.06 / $446.98 / $1,159.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,671.00 / $4,589.00 / $6,006.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.11 / $496.48 / $707.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,059.40 / $2,059.40 / $2,059.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.15 / $506.51 / $786.91
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.46 / $676.01 / $2,229.21
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.03 / $4,046.03 / $4,046.03
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.69 / $465.68 / $3,039.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.00 / $3,060.00 / $9,042.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.15 / $525.29 / $918.55