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California 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
$2,404.69 / $8,011.00 / $18,252.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,057.82 / $2,404.69 / $14,239.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.00 / $8,484.00 / $16,838.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,094.03 / $2,884.98 / $6,239.74
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,881.37
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,741.10 / $2,548.86 / $6,077.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,382.41 / $3,053.84 / $7,167.53
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.08 / $3,054.58 / $3,665.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,459.04 / $3,389.51 / $6,192.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $9,770.70 / $18,769.91
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,368.56 / $19,758.32 / $22,876.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,371.80 / $3,222.71 / $4,222.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,423.54 / $3,176.43 / $6,819.61
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,835.58 / $8,835.58 / $8,835.58
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.36 / $2,393.04 / $3,389.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,336.00 / $4,099.00 / $9,476.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.71 / $2,653.55 / $6,010.41