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Michigan 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
$3,177.94 / $3,177.94 / $6,906.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,223.03 / $3,177.94 / $3,177.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.27 / $2,733.35 / $3,845.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.42 / $4,249.43 / $6,495.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,211.34 / $2,748.99 / $10,458.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,544.94 / $3,177.94 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,544.94 / $2,924.88 / $3,909.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.10 / $1,828.42 / $3,038.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.00 / $3,523.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,551.36 / $3,034.76 / $4,021.53