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Missouri 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
$1,977.30 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.30 / $2,393.10 / $4,031.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,011.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,308.60 / $3,011.38 / $4,432.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,372.19 / $3,346.21 / $5,659.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $2,721.45 / $7,003.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250.76 / $3,431.70 / $19,758.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.00 / $2,136.00 / $3,041.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.13 / $2,968.87 / $5,331.51