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Alaska rates for HCPCS 15842

Graft for facial nerve paralysis; free muscle flap by microsurgical technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,820.00 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,136.51 / $13,136.51 / $14,239.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,648.70 / $4,648.70 / $9,038.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,136.51 / $18,391.11 / $18,785.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,914.80 / $7,049.33 / $7,886.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,852.01 / $10,882.35 / $11,784.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,136.51 / $18,391.11 / $18,785.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,706.90 / $8,187.12 / $17,845.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,984.89 / $7,230.96 / $10,908.66