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North Carolina rates for HCPCS 15841

Graft Facial Nerve Paralysis Free Muscle Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.00 / $2,322.91 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.61 / $1,735.06 / $1,928.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.45 / $1,784.18 / $3,772.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.35 / $2,157.50 / $4,042.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.00 / $2,067.09 / $2,776.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.00 / $749.00 / $2,067.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.39 / $1,748.29 / $4,488.08
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,906.00 / $12,175.68 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,813.92 / $12,813.92 / $15,134.93