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Arizona rates for HCPCS 15841

Graft Facial Nerve Paralysis Free Muscle Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,474.13 / $1,618.19 / $2,661.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,228.01 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.18 / $1,465.57 / $1,703.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.35 / $1,704.70 / $3,203.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.99 / $2,037.48 / $6,336.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.84 / $1,735.36 / $13,065.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,511.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.32 / $1,701.81 / $2,276.34