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Oklahoma 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
$1,392.00 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.71 / $1,735.06 / $1,795.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.68 / $2,189.21 / $2,681.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,629.05 / $2,362.12 / $7,214.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.93 / $1,861.14 / $13,065.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $3,858.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.91 / $1,805.31 / $2,697.54