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Arizona rates for HCPCS 15734

Muscle, myocutaneous, or fasciocutaneous flap; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,467.37 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,041.74 / $7,943.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,445.44 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,862.09 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,344.23 / $2,344.23 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$380.19 / $380.19 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,584.89 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $4,073.80 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,412.54 / $1,949.84