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Delaware rates for HCPCS 15841

Graft Facial Nerve Paralysis Free Muscle Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,816.00 / $5,816.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,554.08 / $1,554.08 / $1,554.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,451.95 / $1,538.06 / $2,202.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.80 / $1,744.30 / $4,150.26