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Minnesota rates for HCPCS 15758

Free Fascial Flap W/Microvascular Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,153.23 / $2,153.23 / $6,955.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.96 / $2,073.48 / $6,855.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,393.86 / $7,649.16 / $18,401.09
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,384.82 / $6,993.17 / $14,489.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,153.23 / $3,556.75 / $5,590.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00