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Michigan rates for HCPCS 15840

Graft Facial Nerve Paralysis Free Fascial Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.34 / $1,191.34 / $6,906.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,189.15 / $3,717.07 / $5,036.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.67 / $1,191.34 / $6,906.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,780.00 / $10,556.00