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Oregon 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
$2,041.74 / $7,943.28 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,819.70 / $2,884.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,862.09 / $2,137.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,041.74 / $14,125.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,819.70 / $2,691.53
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,995.26 / $2,089.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,445.44 / $2,630.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,995.26 / $2,884.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $11,220.18 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,089.30 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $13,182.57 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,905.46 / $2,818.38