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Tennessee rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.17 / $690.76 / $1,083.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,753.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.23 / $746.16 / $1,195.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.60 / $804.16 / $1,511.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,761.40 / $11,102.00 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$173.73 / $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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,567.00 / $7,604.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.03 / $721.89 / $1,295.48