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Virginia rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Facilitymedian $5,623 · 10th–90th $2,291–$14,1250%5%10th90th$5,623Professionalmedian $2,239 · 10th–90th $1,862–$3,1620%20%10th90th$2,239$1.0K$2.0K$5.0K$10.0K$20.0K

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
$2,290.87 / $4,897.79 / $8,912.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $12,302.69 / $16,218.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,398.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,238.72 / $2,630.27
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,890.45
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,570.40 / $4,466.84
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,090.30 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $6,025.60 / $12,882.50