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California rates for HCPCS 15840

Graft Facial Nerve Paralysis Free Fascial Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $7,494.00 / $18,252.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.00 / $8,823.00 / $17,774.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $9,730.92
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.90 / $1,279.17 / $1,569.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.10 / $1,276.71 / $2,338.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,589.96 / $11,500.00 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.98 / $1,255.54 / $1,778.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,670.00 / $9,908.00 / $21,278.00