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Wisconsin rates for HCPCS 15841

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

Facilitymedian $7,586 · 10th–90th $4,365$12,3030%10%10th90th$7,586Professionalmedian $2,344 · 10th–90th $1,479$5,6230%10%10th90th$2,344$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
$1,479.11 / $3,630.78 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,698.24 / $3,630.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,943.28 / $13,182.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,388.44 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,370.32 / $8,511.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,630.78 / $5,128.61
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $4,786.30 / $6,918.31
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,365.16 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $5,011.87 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,754.23 / $7,413.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $2,137.96
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $8,511.38 / $9,120.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,981.07 / $4,897.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,715.35 / $5,495.41
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $12,302.69 / $12,302.69
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,235.94 / $12,882.50
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $3,235.94
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $7,413.10 / $8,317.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $10,232.93 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,570.40 / $6,456.54