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Maryland rates for HCPCS 15758

Free Fascial Flap W/Microvascular Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $0.98 / $0.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,335.57 / $2,877.52 / $5,066.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $950.00 / $950.00