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Missouri rates for HCPCS 15734

Muscle, myocutaneous, or fasciocutaneous flap; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.45 / $3,697.00 / $7,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.02 / $1,380.81 / $6,115.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,011.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.92 / $1,611.74 / $2,521.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.99 / $1,869.17 / $3,146.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.80 / $2,416.19 / $26,542.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,353.26 / $2,353.26 / $6,576.94
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$376.52 / $376.52 / $1,052.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.94 / $1,938.23 / $12,056.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.59 / $1,668.54 / $2,881.63