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Georgia rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Facilitymedian $4,677 · 10th–90th $1,549$7,9430%5%10%10th90th$4,677Professionalmedian $2,512 · 10th–90th $2,188$6,9180%20%10th90th$2,512$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $5,370.32 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $3,801.89 / $11,481.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,511.89 / $6,918.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
62
Typical Low / Median / Typical High
$3,311.31 / $3,311.31 / $3,311.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $3,890.45 / $6,309.57