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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,223.54 / $2,448.36 / $4,030.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,228.01 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.02 / $2,214.69 / $2,574.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,251.98 / $2,707.11 / $4,859.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,973.00 / $2,738.59 / $4,466.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,256.12 / $2,670.70 / $19,758.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.00 / $2,399.00 / $4,850.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,171.21 / $2,592.15 / $3,456.60