go back

Illinois rates for HCPCS 15842

Grf Facial Nrv Palyss Fr Muscle Flap Microsurg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $3,270.00 / $6,281.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,223.03 / $2,559.23 / $5,324.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.01 / $24,931.70 / $54,379.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,259.24 / $3,886.08 / $4,707.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.21 / $3,535.65 / $5,179.35
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.38 / $4,364.63 / $14,280.39
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,146.95 / $3,416.57 / $3,782.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $4,364.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.00 / $2,465.00 / $4,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,159.33 / $3,407.89 / $6,041.80