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Wyoming rates for HCPCS 15841

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.31 / $1,811.31 / $1,811.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,141.00 / $4,188.00 / $5,026.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.57 / $2,177.48 / $3,266.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,793.73 / $3,094.20 / $5,583.42