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Utah rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Facilitymedian $5,888 · 10th–90th $2,455$8,5110%10%10th90th$5,888Professionalmedian $2,884 · 10th–90th $1,778$4,6770%20%10th90th$2,884$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
$2,454.71 / $5,888.44 / $8,511.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,884.03 / $4,677.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $4,466.84 / $7,079.46