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Michigan rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Facilitymedian $4,074 · 10th–90th $2,692$5,7540%20%10th90th$4,074$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,897.79 / $7,079.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,398.83 / $7,244.36