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Nevada 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
$1,348.96 / $4,168.69 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $446.68 / $1,148.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $6,025.60 / $7,762.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $537.03 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $501.19 / $794.33
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $691.83 / $2,454.71
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $3,019.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $446.68 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,162.28 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $870.96