go back

Indiana rates for HCPCS 15736

Muscle, myocutaneous, or fasciocutaneous flap; upper extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.77 / $2,318.00 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.00 / $5,948.00 / $9,462.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.73 / $1,421.23 / $1,530.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.83 / $1,314.83 / $1,314.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,870.00 / $5,490.00