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Minnesota 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
$977.24 / $977.24 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $2,818.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $7,079.46 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,238.72 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,715.35 / $8,912.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $3,090.30 / $4,786.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,548.13 / $6,918.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,511.89 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,778.28 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,862.09 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $6,760.83 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,862.09 / $3,715.35