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Wisconsin rates for HCPCS 15840

Graft for facial nerve paralysis; free fascia graft (including obtaining fascia)

Facilitymedian $7,586 · 10th–90th $3,631–$12,0230%10%10th90th$7,586Professionalmedian $2,089 · 10th–90th $1,514–$3,0900%20%10th90th$2,089$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $2,041.74 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,090.30 / $4,897.79
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $2,884.03 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $2,951.21 / $11,481.54
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $8,511.38 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,089.30 / $3,090.30
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $11,220.18 / $11,220.18
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $1,862.09 / $1,862.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $10,232.93 / $12,022.64