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Minnesota rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $7,079.46 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,479.11 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,454.71 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,041.74 / $3,162.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,344.23 / $4,570.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,659.59 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,148.15 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,174.90 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,202.26 / $2,398.83