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Missouri rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $4,470.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $606.04 / $1,568.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,011.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.65 / $748.65 / $1,087.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.96 / $815.94 / $1,443.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.38 / $1,473.00 / $26,542.00
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
$580.80 / $830.79 / $5,004.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.10 / $708.14 / $1,317.36