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Missouri rates for HCPCS 15736

Muscle, myocutaneous, or fasciocutaneous flap; upper extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.53 / $4,470.00 / $8,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,011.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.17 / $1,844.91 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,261.00 / $3,071.00