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Texas rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Facilitymedian $3,467 · 10th–90th $1,047–$12,0230%5%10%10th90th$3,467$100.0$500.0$2.0K$10.0K$50.0K

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
$977.24 / $3,630.78 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,168.69 / $23,988.33
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $1,905.46 / $1,949.84
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $14,125.38
Lucent Health
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $8,912.51
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,691.53 / $5,888.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,511.89 / $4,073.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $3,311.31 / $7,244.36