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Missouri rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,507.48 / $4,470.00 / $7,996.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$465.29 / $465.29 / $753.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.39 / $1,219.82 / $3,668.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,011.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.68 / $1,508.80 / $2,356.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.83 / $1,690.02 / $2,805.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.67 / $2,241.86 / $26,542.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,555.14 / $2,555.14 / $8,418.48
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$319.39 / $319.39 / $1,052.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.21 / $1,639.87 / $9,294.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,318.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.66 / $1,509.06 / $2,452.87