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Texas rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.00 / $3,219.00 / $10,893.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$478.61 / $564.40 / $958.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.21 / $1,220.35 / $1,927.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,471.15 / $4,704.12 / $9,564.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.61 / $1,433.38 / $1,994.70
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.14 / $1,217.82 / $2,136.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.38 / $1,121.38 / $1,144.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.92 / $1,580.12 / $2,356.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,102.00 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,274.26 / $8,418.48 / $8,418.48
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$284.27 / $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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.26 / $1,564.74 / $2,198.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.05 / $1,972.88 / $2,466.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.36 / $1,315.48 / $2,055.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.26 / $1,566.72 / $2,375.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.11 / $1,654.23 / $2,574.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,313.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.15 / $1,356.87 / $2,147.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.36 / $1,197.81 / $1,658.88