go back

Virginia rates for HCPCS 15840

Graft Facial Nerve Paralysis Free Fascial Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.44 / $5,388.00 / $10,767.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.25 / $1,141.25 / $1,141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.30 / $1,159.76 / $1,380.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.25 / $1,163.32 / $1,830.31
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.30 / $1,282.63 / $7,030.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,270.00 / $17,192.00