go back

Arkansas rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.00 / $1,641.00 / $3,109.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$720.59 / $787.12 / $978.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.39 / $1,234.30 / $1,957.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.46 / $3,308.46 / $3,970.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.04 / $1,572.55 / $1,850.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,414.94 / $2,414.94 / $2,414.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.23 / $1,578.61 / $2,149.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.22 / $1,400.60 / $2,378.84