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Washington, DC 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
$2,137.96 / $6,165.95 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,454.71 / $6,760.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $2,344.23 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,818.38 / $7,762.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $5,495.41 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $8,128.31 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,691.53 / $5,888.44