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Tennessee 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
$900.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.93 / $1,065.64 / $1,617.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,753.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.55 / $1,163.65 / $1,858.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.78 / $1,276.58 / $2,326.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $11,102.00 / $11,102.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,430.40 / $7,602.32 / $8,697.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,567.00 / $7,604.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.43 / $1,194.88 / $2,219.79