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Massachusetts rates for HCPCS 15841

Graft Facial Nerve Paralysis Free Muscle Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.08 / $1,529.74 / $2,004.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.86 / $5,815.89 / $12,175.68
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.11 / $2,666.52 / $12,813.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,884.35 / $2,643.67 / $6,416.05
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,767.32 / $2,792.37 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,952.89 / $2,428.44 / $3,352.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,202.01 / $4,146.38 / $5,852.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,404.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,791.32 / $2,698.48 / $12,813.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.11 / $2,443.91 / $4,658.02