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Colorado rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.50 / $3,189.00 / $10,651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,586.00 / $7,739.00 / $13,989.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,211.76 / $2,936.02 / $3,618.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,322.35 / $3,151.76 / $8,363.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,645.00 / $6,090.00 / $14,057.00