go back

Missouri rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Facilitymedian $4,266 · 10th–90th $1,950$8,7100%5%10%10th90th$4,266$1.0K$2.0K$5.0K$10.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,715.35 / $7,943.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,897.79 / $10,000.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,818.38 / $6,165.95
Medica
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$3,548.13 / $6,456.54 / $6,456.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,398.83 / $4,073.80