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Iowa 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
$2,691.53 / $4,786.30 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,819.70 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,168.69 / $5,128.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,511.89 / $7,079.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,466.84 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $3,019.95 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $4,365.16 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $7,762.47 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,511.89 / $4,677.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,162.28 / $3,715.35