go back

Arkansas 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
$1,071.52 / $1,659.59 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $977.24 / $1,584.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,479.11 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,096.48 / $1,621.81
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,698.24 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,951.21 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,174.90 / $1,659.59