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Kentucky rates for HCPCS 15734

Muscle, myocutaneous, or fasciocutaneous flap; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.00 / $1,521.50 / $5,955.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.49 / $1,423.24 / $2,241.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,428.00 / $8,517.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.01 / $1,230.77 / $1,768.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,410.84 / $1,867.29 / $2,213.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.18 / $1,798.13 / $2,766.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.93 / $1,686.21 / $1,829.00
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,048.79 / $1,048.79 / $1,048.79
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$161.29 / $161.29 / $161.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.98 / $1,549.43 / $2,323.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,798.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $2,194.00 / $8,174.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.33 / $1,577.82 / $2,589.80