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Alaska rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,632.21 / $10,480.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,190.05 / $15,666.07 / $16,001.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,190.05 / $15,666.07 / $16,001.77