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Minnesota rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,288.25 / $3,090.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $7,079.46 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,754.23 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $4,466.84 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,801.89 / $5,754.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,365.16 / $8,511.38
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,090.30 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,041.74 / $6,918.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,398.83 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,187.76 / $4,365.16