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Pennsylvania rates for HCPCS 15734

Muscle, myocutaneous, or fasciocutaneous flap; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $4,073.80 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,698.24 / $7,762.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,165.95 / $57,543.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,584.89 / $2,630.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,187.76 / $2,398.83
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,862.09 / $2,818.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $8,317.64 / $12,882.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,630.78 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,778.28 / $4,897.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,380.38 / $1,548.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,380.38 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,981.07 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,584.89 / $2,884.03