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Illinois rates for HCPCS 15840

Graft for facial nerve paralysis; free fascia graft (including obtaining fascia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,548.13 / $8,912.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,495.41 / $19,054.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,621.81 / $5,370.32
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
$1,862.09 / $4,365.16 / $9,332.54