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Washington, DC rates for HCPCS 15738

Musc Myocutaneous/Fasciocutaneous Flap Lxtr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.08 / $3,999.00 / $6,456.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$641.54 / $641.54 / $641.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.86 / $1,283.08 / $1,969.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.12 / $1,354.12 / $4,930.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.47 / $1,274.56 / $3,301.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.78 / $2,884.18 / $2,884.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.33 / $1,461.38 / $3,332.90