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New York 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
$1,254.28 / $4,828.00 / $10,674.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,263.00 / $5,196.00 / $11,909.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.58 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.25 / $1,141.25 / $1,141.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,070.08 / $2,624.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,141.25 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.00 / $5,248.00 / $11,200.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.88 / $1,085.88 / $3,354.84