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Michigan rates for HCPCS 15734

Muscle, myocutaneous, or fasciocutaneous flap; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,073.80 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,905.46 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,412.54 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $2,137.96 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $5,754.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,778.28 / $3,630.78
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,412.54 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,888.44 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,659.59 / $2,187.76