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Minnesota rates for HCPCS 15738

Musc Myocutaneous/Fasciocutaneous Flap Lxtr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.25 / $1,199.25 / $6,955.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$599.63 / $599.63 / $599.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.58 / $1,211.20 / $1,893.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,463.42 / $5,762.11 / $12,749.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,003.74 / $2,779.33 / $4,456.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,014.46 / $4,274.88 / $10,283.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,070.21 / $3,558.09 / $5,338.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.54 / $3,908.27 / $8,097.49
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.77 / $3,069.19 / $4,880.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.46 / $2,037.96 / $5,499.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.87 / $2,566.58 / $5,126.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.87 / $2,443.91 / $4,926.97