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Arizona rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,094.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.39 / $1,283.08 / $1,978.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.76 / $1,038.33 / $1,207.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.34 / $1,319.06 / $1,997.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.26 / $1,534.25 / $6,117.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,555.14 / $2,555.14 / $8,418.48
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$319.39 / $319.39 / $1,052.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.32 / $1,350.83 / $9,294.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,511.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.21 / $1,322.65 / $1,734.30