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Louisiana rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$698.56 / $738.10 / $803.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.39 / $1,352.44 / $1,978.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,829.62 / $4,819.04 / $7,020.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.74 / $1,442.28 / $1,928.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.22 / $1,462.83 / $2,149.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.11 / $1,350.83 / $2,532.79