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Kansas 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
$2,789.00 / $6,071.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,313.33 / $2,448.36 / $3,624.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.74 / $3,896.17 / $3,896.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,372.19 / $3,767.61 / $4,519.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.00 / $2,704.00 / $3,842.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,693.10 / $3,118.32 / $19,758.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.00 / $2,326.00 / $3,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,601.51 / $3,033.28 / $4,254.39