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Minnesota rates for HCPCS 15841

Graft Facial Nerve Paralysis Free Muscle Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.81 / $1,690.81 / $9,469.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.28 / $1,690.81 / $2,661.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,351.29 / $6,582.73 / $12,749.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,825.84 / $3,898.67 / $6,251.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,252.59 / $6,030.70 / $14,507.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,937.22 / $5,048.21 / $7,574.08
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,457.05 / $5,513.51 / $11,423.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,889.77 / $4,354.56 / $6,924.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,897.51 / $2,887.52 / $6,652.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.65 / $3,160.70 / $7,091.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.65 / $2,911.31 / $6,793.16