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New York rates for HCPCS 15736

Muscle, myocutaneous, or fasciocutaneous flap; upper extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,293.64 / $4,442.00 / $11,396.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,142.00 / $9,074.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,714.18 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,369.63 / $1,369.63 / $1,369.63
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,300.14 / $3,215.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,369.63 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.00 / $3,961.00 / $8,312.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.78 / $1,300.78 / $4,063.28