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Rhode Island 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
$2,993.72 / $3,787.95 / $7,794.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.82 / $431.22 / $521.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.14 / $503.69 / $798.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.15 / $578.25 / $993.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,838.00 / $5,111.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.16 / $619.51 / $1,061.34