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Maryland rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,555.25 / $4,555.25 / $7,076.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.39 / $1,283.08 / $3,406.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.12 / $1,354.12 / $1,557.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.23 / $1,508.46 / $2,247.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.78 / $1,618.81 / $2,883.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.00 / $1,028.00 / $1,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.57 / $1,358.80 / $2,469.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.72 / $1,383.82 / $1,518.90