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Vermont rates for HCPCS 15769

Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $602.56 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $691.83 / $1,698.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $794.33 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $691.83 / $1,995.26