go back

Massachusetts rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $691.83 / $1,905.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,754.40 / $45,708.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $933.25 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $977.24 / $1,862.09
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,318.26 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,174.90
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,122.02 / $1,905.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,754.40 / $45,708.82
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $933.25 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $933.25 / $1,905.46