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Michigan rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,495.84 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$747.92 / $747.92 / $747.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.39 / $1,290.17 / $1,978.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,189.15 / $3,717.07 / $5,036.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.72 / $1,898.30 / $3,046.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.52 / $1,350.02 / $2,688.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,475.43 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$747.92 / $747.92 / $747.92
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.66 / $1,475.43 / $2,008.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.71 / $884.99 / $1,409.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,780.00 / $10,556.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.07 / $1,621.00 / $2,217.31