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Tennessee rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.18 / $2,800.00 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$496.09 / $663.45 / $1,666.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.04 / $1,290.17 / $1,525.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,753.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.92 / $1,482.30 / $2,113.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.47 / $1,515.76 / $2,537.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,859.30 / $11,102.00 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,555.14 / $8,418.48 / $8,418.48
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$319.39 / $1,052.31 / $1,052.31
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,066.48 / $9,294.87 / $10,750.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $4,482.00 / $7,604.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.75 / $1,492.94 / $2,687.65