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New Jersey 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
$888.38 / $5,975.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.38 / $930.34 / $1,679.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.85 / $1,200.31 / $2,416.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.36 / $1,457.73 / $1,609.47
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,054.02 / $8,572.26 / $19,300.75
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.47 / $1,171.38 / $2,051.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.00 / $8,305.00 / $14,121.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.83 / $1,006.43 / $2,088.79