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Oregon rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Facilitymedian $4,467 · 10th–90th $2,818$9,5500%10%20%10th90th$4,467Professionalmedian $4,074 · 10th–90th $3,467$4,7860%20%10th90th$4,074$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
$4,570.88 / $5,754.40 / $13,182.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,677.35
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,467.37 / $6,456.54
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,365.16 / $4,570.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,388.44 / $5,623.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $11,748.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,951.21 / $12,022.64