go back

Maryland rates for HCPCS 15740

Flap Island Pedicle Anatomic Named Axial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.37 / $3,210.62 / $3,210.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.47 / $885.02 / $2,220.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.98 / $886.98 / $1,020.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.79 / $1,007.00 / $1,706.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.73 / $1,322.57 / $2,282.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.89 / $954.62 / $1,663.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.75 / $931.00 / $1,222.48