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Maine rates for HCPCS 15841

Graft Facial Nerve Paralysis Free Muscle Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.43 / $1,427.43 / $1,427.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.95 / $2,205.29 / $3,388.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.05 / $2,454.53 / $3,826.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,215.98 / $2,654.98 / $3,933.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.43 / $1,427.43 / $1,427.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.08 / $2,265.41 / $3,524.94