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Virginia rates for HCPCS 15757

Free skin flap with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,280.94 / $5,087.00 / $8,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,734.00 / $11,244.48 / $15,661.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,565.08 / $2,565.08 / $2,565.08
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,579.13 / $1,579.13 / $1,579.13
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$252.66 / $252.66 / $252.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,332.77 / $2,578.33 / $3,069.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.36 / $2,640.30 / $4,187.66
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$428.15 / $487.60 / $585.04
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$299.70 / $341.32 / $409.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,189.84 / $2,969.80 / $8,260.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $6,870.00 / $12,739.00