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Arizona 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
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.91 / $968.76 / $2,387.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,613.46 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.99 / $846.65 / $984.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.63 / $1,224.79 / $1,838.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.75 / $1,276.93 / $6,124.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.13 / $1,080.52 / $2,674.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,878.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.44 / $1,047.90 / $1,419.62