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Massachusetts 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
$1,949.84 / $3,630.78 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,570.40 / $7,079.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,630.78 / $10,715.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,715.35 / $19,498.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,890.45 / $7,413.10
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $3,548.13 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $4,570.88
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,630.78 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,890.45 / $6,309.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,630.78 / $10,715.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,715.35 / $19,498.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,630.78 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,715.35 / $6,456.54