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Minnesota rates for HCPCS 15840

Graft Facial Nerve Paralysis Free Fascial Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.35 / $972.35 / $7,349.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,888.29 / $5,762.11 / $12,749.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.15 / $3,474.61 / $8,358.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,991.79 / $3,176.63 / $6,581.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.92 / $1,696.01 / $6,652.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00