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Minnesota rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $5,011.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,238.72 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $8,128.31 / $19,054.61
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $7,762.47 / $15,135.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,548.13 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $4,677.35 / $8,912.51