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Maine rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Facilitymedian $14,454 · 10th–90th $13,804$19,4980%20%40%10th90th$14,454$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $14,454.40 / $19,498.45