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Texas rates for HCPCS 15840

Graft Facial Nerve Paralysis Free Fascial Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $3,682.00 / $12,281.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.92 / $4,644.57 / $8,872.32
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.97 / $866.97 / $879.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,102.00 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.14 / $1,140.48 / $1,583.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.14 / $1,141.42 / $1,763.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00