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Louisiana 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
$756.00 / $2,694.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,166.38 / $3,100.71 / $3,852.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,607.97 / $3,022.03 / $4,304.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,843.16 / $3,011.40 / $3,551.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.69 / $2,967.23 / $4,448.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $1,629.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,247.85 / $2,834.84 / $4,484.22