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Georgia rates for HCPCS 15758

Free Fascial Flap W/Microvascular Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.50 / $5,063.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.01 / $4,431.64 / $11,609.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,433.64 / $2,754.97 / $6,915.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
62
Low / Median / High Price
$3,290.49 / $3,290.49 / $3,290.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,886.00 / $7,889.00