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Washington, DC 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
$1,698.24 / $4,073.80 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $977.24 / $1,905.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,398.83 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,174.90 / $2,630.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,137.96 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $14,791.08 / $26,915.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,071.52 / $2,344.23