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Missouri rates for HCPCS 15740

Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.14 / $3,067.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.76 / $893.23 / $2,333.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,011.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.55 / $1,014.50 / $1,537.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.23 / $1,178.67 / $1,981.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.14 / $1,274.46 / $5,764.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.47 / $1,291.09 / $7,531.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,261.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.02 / $1,032.88 / $1,853.30