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Kentucky rates for HCPCS 15758

Free Fascial Flap W/Microvascular Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.00 / $2,155.42 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,478.80 / $9,565.00 / $16,539.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.61 / $2,577.28 / $3,008.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,081.89 / $2,553.94 / $2,553.94
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,572.60 / $1,572.60 / $1,572.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $1,945.00 / $5,995.00