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Connecticut rates for HCPCS 15841

Graft Facial Nerve Paralysis Free Muscle Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,380.43 / $6,343.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.08 / $2,004.20 / $4,095.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.00 / $9,678.00 / $12,904.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.75 / $2,080.90 / $2,967.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.93 / $2,524.44 / $3,763.20
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.59 / $2,067.75 / $2,160.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,325.00 / $8,250.00 / $11,880.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.32 / $2,188.48 / $3,768.57