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Alaska rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.07 / $3,247.05 / $3,502.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.51 / $1,140.51 / $2,177.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,247.05 / $4,545.87 / $4,643.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.07 / $1,773.65 / $1,985.43
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.20 / $2,741.85 / $2,966.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,247.05 / $4,545.87 / $4,643.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.78 / $2,033.42 / $4,352.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.90 / $1,741.76 / $2,627.63