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North Dakota 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
$1,776.39 / $1,776.39 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.17 / $1,690.81 / $2,392.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,458.73 / $3,738.78 / $4,476.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,573.44 / $4,167.70 / $5,381.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.39 / $2,173.69 / $3,019.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.39 / $2,967.50 / $13,065.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.20 / $2,749.53 / $4,599.34