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Indiana 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
$1,386.00 / $3,500.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.23 / $2,223.03 / $2,559.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,257.08 / $2,914.53 / $4,450.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.80 / $3,147.39 / $3,389.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,421.07 / $2,905.28 / $3,443.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.83 / $1,314.83 / $1,314.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,286.35 / $2,963.74 / $4,569.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,462.00 / $3,870.00 / $6,474.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.13 / $2,704.81 / $4,266.18