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Hawaii rates for HCPCS 15841

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

Facilitymedian $5,495 · 10th–90th $1,950–$5,4950%50%10th$5,495Professionalmedian $2,692 · 10th–90th $1,413–$7,4130%10%10th90th$2,692$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,621.81 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,238.72 / $2,691.53
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,570.40 / $3,090.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,905.46 / $2,238.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,949.84 / $2,454.71
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $4,570.88 / $7,943.28