go back

Wyoming rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.29 / $693.29 / $693.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.00 / $1,596.00 / $1,915.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.41 / $908.64 / $1,362.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.39 / $1,143.01 / $2,062.53