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California rates for HCPCS 15734

Muscle, myocutaneous, or fasciocutaneous flap; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,467.29 / $6,423.00 / $16,756.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.63 / $1,380.81 / $5,744.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,696.00 / $7,166.00 / $15,328.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.33 / $1,525.90 / $2,950.56
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,011.98
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.97 / $1,422.81 / $3,128.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.52 / $1,647.09 / $3,475.96
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.69 / $1,678.74 / $2,014.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.57 / $1,846.61 / $3,812.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,979.65 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,094.56 / $6,576.94 / $6,576.94
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$335.13 / $1,052.31 / $1,052.31
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,720.80 / $12,056.47 / $12,846.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.33 / $1,812.91 / $2,333.90
Providence
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,233.84 / $2,233.84 / $2,233.84
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$571.86 / $571.86 / $571.86
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$486.08 / $486.08 / $486.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.01 / $1,703.07 / $3,512.81
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,865.59 / $4,865.59 / $4,865.59
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.02 / $1,540.52 / $2,014.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,679.00 / $9,810.00 / $21,278.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.48 / $1,547.59 / $3,539.82