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Florida 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
$1,403.06 / $5,797.00 / $11,624.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.62 / $1,541.25 / $2,107.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.00 / $1,951.00 / $2,322.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.21 / $1,831.89 / $2,970.04
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,759.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.96 / $1,392.66 / $2,128.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.84 / $1,285.78 / $2,056.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.00 / $8,267.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.22 / $1,659.11 / $2,946.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.14 / $1,145.14 / $1,145.14