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Missouri 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
$1,778.28 / $3,388.44 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $3,235.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,318.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,445.44 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $977.24 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,412.54 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $1,548.82 / $7,079.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,318.26 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,122.02 / $1,905.46