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North Carolina rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Facilitymedian $3,631 · 10th–90th $1,995–$8,7100%10%20%10th90th$3,631Professionalmedian $3,890 · 10th–90th $3,890–$4,5710%20%40%90th$3,890$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $5,623.41 / $8,709.64
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $4,570.88
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,691.53 / $3,630.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $8,317.64 / $10,715.19
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $14,125.38 / $14,125.38
Wellcare
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $8,912.51