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North Carolina rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.20 / $1,044.70 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.52 / $652.74 / $1,095.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.67 / $690.36 / $1,472.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.51 / $811.45 / $1,590.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $804.50 / $1,051.90
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$80.92 / $114.05 / $134.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.00 / $606.00 / $814.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.91 / $655.86 / $1,440.43
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,761.40 / $11,102.00 / $26,542.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$154.63 / $173.73 / $1,052.31
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,896.16 / $4,896.16 / $5,742.75