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Kansas rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,754.26 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$653.20 / $653.20 / $851.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.67 / $1,211.20 / $1,702.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,977.33 / $2,268.11 / $3,268.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.80 / $2,050.35 / $2,216.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.09 / $1,816.79 / $2,490.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.33 / $1,916.64 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.79 / $1,587.18 / $9,294.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $3,647.00 / $6,988.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.79 / $1,445.39 / $2,058.64