go back

Alaska rates for HCPCS 15841

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,115.99 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,631.81 / $8,631.81 / $9,373.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,053.88 / $3,053.88 / $5,909.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,631.81 / $12,084.53 / $12,343.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,912.64 / $4,660.39 / $5,216.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,864.48 / $7,194.15 / $7,795.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,631.81 / $12,084.53 / $12,343.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,432.94 / $5,401.57 / $11,706.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,959.65 / $4,727.70 / $7,132.23