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New Mexico rates for HCPCS 15841

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

Facilitymedian $2,570 · 10th–90th $1,698–$7,7620%10%20%10th90th$2,570Professionalmedian $2,291 · 10th–90th $1,514–$4,4670%10%10th90th$2,291$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,570.40 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,137.96 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,290.87 / $2,951.21
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $2,570.40
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,041.74 / $2,951.21
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,454.71 / $3,162.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $9,120.11 / $15,488.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,511.89 / $3,311.31