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Missouri rates for HCPCS 15841

Graft for facial nerve paralysis; free muscle graft (including obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.88 / $1,578.80 / $2,689.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,958.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.30 / $1,894.74 / $2,903.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.37 / $2,137.48 / $3,713.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,526.17 / $2,701.10 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.26 / $2,251.64 / $13,065.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.90 / $1,868.73 / $3,313.57