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Missouri rates for HCPCS 15750

Flap; neurovascular pedicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.88 / $3,351.00 / $8,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,011.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.05 / $1,748.00 / $16,394.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $3,347.00 / $6,854.00