go back

Connecticut rates for HCPCS 15758

Free Fascial Flap W/Microvascular Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,901.15 / $6,343.00 / $9,637.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.00 / $12,296.61 / $14,408.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.00 / $7,010.00 / $11,152.00