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Arizona rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,758.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.03 / $607.08 / $1,083.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,613.46 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.07 / $558.76 / $649.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.86 / $664.28 / $1,201.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.25 / $776.11 / $6,302.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$173.73 / $173.73 / $1,052.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.40 / $653.13 / $5,004.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,511.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.84 / $638.72 / $1,019.30