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Vermont 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
Professional
Modifier
Low / Median / High Price
$1,052.42 / $1,210.20 / $2,760.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.34 / $1,474.36 / $3,673.69
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.23 / $1,589.20 / $3,673.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.23 / $1,469.64 / $4,272.34