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Tennessee rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,454.71 / $6,456.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,454.71 / $4,365.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $14,125.38 / $14,125.38
Lucent Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$8,912.51 / $8,912.51 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,630.78 / $6,309.57