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South Carolina rates for HCPCS 15841

Graft Facial Nerve Paralysis Free Muscle Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,928.26 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.71 / $1,928.26 / $2,776.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,709.21 / $5,405.49 / $8,981.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,646.05 / $2,045.00 / $2,718.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $715.00 / $3,200.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.17 / $1,938.55 / $2,713.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,639.02 / $1,951.00 / $2,603.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,872.87 / $2,872.87 / $2,872.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.86 / $1,162.38 / $1,949.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.86 / $1,728.71 / $2,740.48