go back

Louisiana 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
$762.00 / $1,850.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.07 / $1,132.80 / $1,619.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,829.62 / $4,819.04 / $7,020.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.48 / $1,168.06 / $1,509.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.39 / $1,178.30 / $1,717.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.63 / $1,080.52 / $1,916.55