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Oklahoma rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Facilitymedian $3,020 · 10th–90th $1,202$6,7610%10%10th90th$3,020$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $3,467.37 / $6,760.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,818.38 / $5,888.44
Medica
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $6,456.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $2,691.53 / $5,495.41