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Idaho rates for HCPCS 15841

Graft Facial Nerve Paralysis Free Muscle Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.25 / $2,467.11 / $2,689.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.69 / $2,452.19 / $3,109.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.88 / $2,428.29 / $3,066.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,869.27 / $3,130.11 / $3,477.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,778.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,960.99 / $8,854.77 / $10,870.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,701.80 / $2,725.78 / $3,303.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.79 / $2,187.85 / $2,991.06