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Georgia rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

Facilitymedian $4,365 · 10th–90th $1,202–$7,4130%5%10%10th90th$4,365Professionalmedian $1,514 · 10th–90th $1,072–$2,9510%10%10th90th$1,514$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $4,570.88 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,479.11 / $3,162.28
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,621.81 / $2,137.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $3,090.30 / $6,606.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,513.56 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,621.81 / $2,630.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,479.11 / $2,511.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $5,370.32 / $8,511.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,737.80 / $2,818.38