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Missouri rates for HCPCS 15757

Free Skin Flap W/Microvascular Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $4,470.00 / $8,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,517.00 / $10,778.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,668.24 / $2,680.00 / $6,575.46
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$3,595.36 / $3,595.36 / $6,434.68
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$575.26 / $575.26 / $1,029.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00