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Nevada 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
$1,731.04 / $3,042.00 / $6,953.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.32 / $1,731.04 / $9,373.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,671.00 / $4,589.00 / $6,006.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.49 / $1,653.85 / $2,628.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,059.40 / $2,059.40 / $2,059.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.03 / $1,975.64 / $2,904.96
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.40 / $1,865.87 / $2,456.73
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.03 / $4,046.03 / $4,046.03
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $1,714.98 / $3,039.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.00 / $3,232.00 / $9,042.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.60 / $1,856.52 / $3,248.94