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California 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
$1,820.00 / $6,588.00 / $17,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.09 / $968.76 / $4,853.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,696.00 / $7,166.00 / $15,328.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.51 / $1,384.56 / $2,828.73
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,208.49
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.90 / $1,167.19 / $2,710.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.59 / $1,286.03 / $2,932.66
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.49 / $1,175.73 / $1,587.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.15 / $1,295.52 / $2,446.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $11,102.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,430.40 / $7,602.32 / $8,697.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.07 / $1,248.41 / $1,620.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.90 / $1,322.70 / $2,732.34
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,394.49 / $3,394.49 / $3,394.49
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.10 / $1,281.68 / $1,556.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,670.00 / $9,810.00 / $21,278.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.38 / $1,087.08 / $2,543.96