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Pennsylvania rates for HCPCS 15756

Free muscle or myocutaneous flap with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.00 / $3,748.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,964.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,580.13 / $2,580.13 / $2,580.13
Priority Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,589.61 / $1,589.61 / $1,589.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.73 / $2,233.73 / $2,760.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,598.25 / $2,598.25 / $2,598.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $2,884.00 / $6,000.00