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Illinois rates for HCPCS 15840

Graft Facial Nerve Paralysis Free Fascial Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.77 / $2,824.00 / $5,580.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,846.66 / $9,262.18 / $20,202.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.77 / $1,640.20 / $5,010.85
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.00 / $5,000.00 / $8,995.00