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Wyoming rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.32 / $1,281.32 / $1,281.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,239.00 / $2,985.00 / $3,582.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.09 / $1,743.87 / $2,547.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.06 / $2,283.23 / $4,862.01