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Iowa rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Facilitymedian $3,981 · 10th–90th $1,445–$6,7610%10%10th90th$3,981Professionalmedian $3,890 · 10th–90th $2,089–$10,0000%5%10%10th90th$3,890$200.0$500.0$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
$3,388.44 / $3,981.07 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,311.31 / $14,454.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $4,073.80 / $7,079.46
Medica
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $6,456.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $5,495.41 / $7,943.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,951.21 / $7,585.78