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Massachusetts rates for HCPCS 15842

Grf Facial Nrv Palyss Fr Muscle Flap Microsurg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,813.58 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,813.58 / $2,289.34 / $3,071.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,672.00 / $10,821.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,311.51 / $4,019.51 / $19,368.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,853.91 / $3,980.03 / $9,748.83
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $3,504.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,946.39 / $3,656.01 / $5,046.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,328.82 / $5,930.96 / $8,290.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,649.00 / $18,395.93
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,834.84 / $4,096.81 / $19,368.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $3,592.00 / $8,498.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,585.57 / $3,818.84 / $7,747.46