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Nationwide rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Facilitymedian $5,495 · 10th–90th $1,862$13,8040%5%10%10th90th$5,495Professionalmedian $3,388 · 10th–90th $1,950$6,9180%10%10th90th$3,388$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $4,570.88 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $9,332.54 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $6,456.54 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,398.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $3,801.89 / $9,120.11