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West Virginia rates for HCPCS 15757

Free skin flap with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,700.00 / $2,177.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,220.21 / $2,664.26 / $2,902.76
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