go back

Massachusetts rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,090.30 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,479.11 / $3,630.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,754.40 / $45,708.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$8,912.51 / $8,912.51 / $8,912.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,778.28 / $8,912.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,862.09 / $3,467.37
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,995.26 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,548.82 / $2,187.76
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,089.30 / $3,548.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,754.40 / $45,708.82
Mass General Brigham
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$8,912.51 / $8,912.51 / $8,912.51
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,778.28 / $9,120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,778.28 / $3,467.37