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Virginia rates for HCPCS 15736

Muscle, myocutaneous, or fasciocutaneous flap; upper extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.55 / $4,424.47 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,369.63 / $1,369.63 / $1,369.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.77 / $1,408.22 / $1,676.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.20 / $1,430.31 / $2,212.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.17 / $1,531.66 / $5,877.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.00 / $3,175.00 / $5,340.00