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Arizona rates for HCPCS 15840

Graft Facial Nerve Paralysis Free Fascial Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,228.01 / $5,113.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.38 / $1,154.00 / $6,302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,511.00