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California rates for HCPCS 15770

Graft Derma-Fat-Fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.85 / $6,626.00 / $17,380.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.41 / $607.08 / $1,162.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,696.00 / $7,166.00 / $15,328.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.15 / $731.76 / $1,501.63
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.09 / $100.00 / $7,908.14
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.85 / $595.66 / $1,452.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.19 / $785.22 / $1,836.74
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.76 / $796.86 / $956.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.22 / $866.62 / $1,588.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,761.40 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$154.63 / $1,052.31 / $1,052.31
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,896.16 / $5,004.08 / $5,742.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.76 / $844.85 / $1,166.29
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$216.12 / $216.12 / $216.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.21 / $818.20 / $1,778.13
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,156.00 / $5,156.00 / $5,156.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,173.48 / $2,173.48 / $2,173.48
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.40 / $732.42 / $957.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,331.00 / $9,810.00 / $21,278.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.35 / $678.64 / $1,675.33