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Oklahoma 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
$1,150.00 / $3,779.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.77 / $1,032.33 / $1,042.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,374.38 / $8,537.98 / $13,565.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.45 / $1,237.38 / $1,358.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.33 / $1,358.72 / $1,632.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.47 / $1,415.00 / $6,889.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.83 / $1,137.51 / $1,974.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.00 / $4,054.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.42 / $1,080.52 / $1,566.11