go back

Texas rates for HCPCS 15757

Free skin flap with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.00 / $3,219.00 / $11,453.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,219.26 / $3,753.86 / $11,426.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.08 / $1,909.08 / $1,948.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,000.00 / $11,161.46
Lucent Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$3,200.13 / $6,434.68 / $6,975.91
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$512.02 / $1,029.55 / $1,116.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,014.35 / $2,647.63 / $3,910.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,014.35 / $2,639.95 / $3,910.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.00 / $3,314.00 / $7,600.00