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Alabama 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
$870.96 / $1,445.44 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,122.02 / $2,398.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,235.94 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $1,000.00 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,630.78 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $977.24 / $1,412.54