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New York rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.66 / $4,770.00 / $11,326.97
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$539.51 / $788.85 / $1,124.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.02 / $1,234.30 / $2,981.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,263.00 / $5,196.00 / $11,909.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.93 / $1,297.63 / $2,952.08
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,806.15 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,806.15 / $1,806.15 / $1,806.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.69 / $1,429.69 / $1,429.69
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,133.07 / $1,133.07 / $1,133.07
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$141.63 / $141.63 / $141.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.93 / $1,756.87 / $4,657.22
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,305.00 / $3,331.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.64 / $1,749.85 / $3,656.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.83 / $1,270.92 / $2,327.27
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,429.69 / $74,999.25
MVP Health Care
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,133.07 / $1,133.07 / $1,133.07
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$141.63 / $141.63 / $141.63
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.78 / $1,768.19 / $4,657.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.00 / $5,248.00 / $11,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.01 / $1,537.98 / $3,520.79
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.13 / $1,352.13 / $4,384.85
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.95 / $1,352.13 / $3,757.42