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Tennessee 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
$496.22 / $2,600.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.46 / $454.33 / $765.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,611.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.65 / $532.74 / $858.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.82 / $589.53 / $1,074.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $11,102.00 / $11,102.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,475.60 / $3,547.36 / $4,110.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,567.00 / $7,604.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.10 / $537.01 / $1,011.10