go back

Maine rates for HCPCS 15733

Musc Myoq/Fscq Flap Head&Neck W/Named Vasc Pedcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,357.52 / $4,357.52 / $4,357.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.36 / $968.76 / $1,619.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.71 / $1,309.88 / $1,961.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.51 / $1,452.46 / $2,220.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.06 / $1,532.44 / $2,270.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,357.52 / $4,357.52 / $4,357.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.36 / $1,071.88 / $1,911.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.81 / $1,473.97 / $2,045.39