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Ohio rates for HCPCS 15734

Muscle, myocutaneous, or fasciocutaneous flap; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,595.71 / $4,044.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.49 / $1,403.42 / $2,602.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $3,576.00 / $14,996.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.46 / $1,505.04 / $2,551.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.10 / $1,776.85 / $2,111.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.11 / $1,919.00 / $1,919.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.41 / $1,784.85 / $2,971.84
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.19 / $1,946.52 / $2,664.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.78 / $1,096.75 / $1,839.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,513.00 / $7,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.09 / $1,652.56 / $2,674.28