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Maryland rates for HCPCS 15841

Graft Facial Nerve Paralysis Free Muscle Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.73 / $1,802.98 / $4,671.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.39 / $1,739.61 / $2,000.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.64 / $1,804.04 / $3,110.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.87 / $2,151.21 / $3,911.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.00 / $1,028.00 / $1,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.13 / $1,786.78 / $3,399.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.48 / $1,955.65 / $2,140.52