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Alaska rates for HCPCS 15733

Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.07 / $1,065.64 / $5,042.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,804.63 / $1,804.63 / $3,466.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,042.71 / $7,059.79 / $7,211.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,258.35 / $2,702.61 / $3,011.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,413.60 / $4,164.75 / $4,518.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,042.71 / $7,059.79 / $7,211.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.70 / $3,124.63 / $6,893.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.71 / $2,773.50 / $4,184.12