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Maryland rates for HCPCS 15842

Graft for facial nerve paralysis; free muscle flap by microsurgical technique

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,697.06 / $2,722.64 / $2,722.64
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,380.88 / $2,645.42 / $2,989.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,343.12 / $2,857.38 / $4,721.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,801.19 / $3,243.48 / $5,897.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,075.15 / $2,773.96 / $5,175.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,942.96 / $2,948.62 / $3,234.97