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West Virginia 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
$1,400.00 / $1,692.30 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.17 / $1,692.30 / $1,802.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,875.00 / $2,090.77 / $2,277.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,024.82 / $2,024.82 / $2,024.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,001.44 / $2,001.44 / $2,001.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.25 / $2,120.58 / $4,363.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.65 / $2,168.12 / $2,640.12