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Kansas 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
$1,830.50 / $4,376.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.16 / $999.10 / $1,391.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.00 / $1,784.52 / $1,878.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.77 / $1,824.43 / $2,006.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.31 / $1,453.27 / $1,734.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,391.92 / $5,766.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.10 / $1,296.38 / $7,602.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $3,647.00 / $6,988.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.55 / $1,188.57 / $1,646.69