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Pennsylvania rates for HCPCS 15736

Musc Myocutaneous/Fasciocutaneous Flap Uxtr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.00 / $3,623.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,838.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,369.63 / $1,369.63 / $1,369.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.73 / $1,183.73 / $1,387.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.00 / $2,391.00 / $6,000.00