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Tennessee 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
$1,376.37 / $3,248.23 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.37 / $1,840.68 / $2,093.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,221.00 / $3,927.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.84 / $1,923.59 / $2,931.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,525.75 / $2,149.54 / $3,996.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,906.00 / $12,175.68 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,813.92 / $13,065.44 / $15,134.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,567.00 / $7,604.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,577.98 / $1,954.20 / $3,907.36