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Arizona rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Facilitymedian $3,890 · 10th–90th $2,042$7,9430%5%10%10th90th$3,890$1.0K$2.0K$5.0K$10.0K

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
$2,089.30 / $3,890.45 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $7,413.10 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,818.38 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $6,456.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,884.03 / $5,370.32