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Indiana rates for HCPCS 15734

Muscle, myocutaneous, or fasciocutaneous flap; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.31 / $5,546.50 / $12,537.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.47 / $1,252.45 / $1,656.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $6,474.00 / $13,810.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.77 / $1,400.60 / $2,010.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.10 / $1,705.78 / $1,876.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,340.10 / $1,474.11 / $1,809.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,623.15 / $2,623.15 / $2,623.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.68 / $1,600.91 / $2,373.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.08 / $1,608.12 / $2,370.01