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Massachusetts rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,733.00 / $4,712.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $5,029.84 / $12,379.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$6,951.51 / $6,951.51 / $6,951.51
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $3,334.44 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,249.00 / $12,811.25
Mass General Brigham
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$6,951.51 / $6,951.51 / $6,951.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00