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Texas 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
$803.00 / $3,339.00 / $11,630.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.55 / $968.76 / $1,617.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,710.30 / $4,674.35 / $9,825.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.91 / $1,121.40 / $1,668.57
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $3,557.44 / $8,000.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.34 / $888.34 / $904.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.52 / $1,265.04 / $1,882.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $11,102.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,430.40 / $7,602.32 / $8,697.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.62 / $1,045.92 / $1,414.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.71 / $1,605.94 / $2,007.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.33 / $1,055.10 / $1,675.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.83 / $1,042.17 / $1,463.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.54 / $1,339.08 / $2,077.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.58 / $1,080.52 / $1,643.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.64 / $975.49 / $1,352.70