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New York rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,677.35 / $10,232.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $6,025.60 / $12,302.69
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $3,801.89 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,691.53 / $7,413.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,265.80 / $9,549.93
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,398.83 / $8,317.64