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California rates for HCPCS 15736

Muscle, myocutaneous, or fasciocutaneous flap; upper extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.31 / $6,423.00 / $17,054.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,675.00 / $7,007.00 / $13,707.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,864.42
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.46 / $1,401.78 / $1,682.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.99 / $1,544.19 / $2,822.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,567.80 / $6,777.96 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.58 / $1,503.50 / $2,011.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,348.00 / $4,243.00 / $9,131.00