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Illinois rates for HCPCS 15841

Graft Facial Nerve Paralysis Free Muscle Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $3,221.00 / $6,180.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.85 / $1,685.28 / $3,323.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,037.47 / $16,417.70 / $35,809.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.50 / $2,329.52 / $3,414.70
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.35 / $2,877.56 / $7,026.39
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,085.38 / $2,251.55 / $2,493.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,877.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.00 / $5,000.00 / $8,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.56 / $2,236.69 / $3,955.95