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New York rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Facilitymedian $4,898 · 10th–90th $2,570$11,4820%10%10th90th$4,898$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$2,290.87 / $4,677.35 / $10,232.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $5,754.40 / $12,882.50
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $4,786.30 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,398.83
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,691.53 / $7,413.10
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,981.07 / $8,912.51
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,398.83 / $8,317.64