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Hawaii 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
$1,924.00 / $5,484.00 / $6,718.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,733.60 / $3,350.00 / $4,020.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,534.40 / $3,868.02 / $4,685.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,948.00 / $3,216.00 / $3,752.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $1,689.00 / $1,689.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.71 / $3,316.76 / $4,362.53
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,415.28 / $3,381.40