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North Carolina 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
$1,000.00 / $3,981.07 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,000.00 / $1,949.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,698.24 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,445.44 / $2,290.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $9,549.93 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,096.48 / $2,187.76
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $11,220.18 / $11,220.18
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $8,709.64