go back

Kansas rates for HCPCS 15758

Free Fascial Flap W/Microvascular Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,334.19 / $4,919.00 / $12,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.00 / $833.00 / $833.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.39 / $2,722.33 / $4,423.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $5,565.00