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North Dakota 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
$2,700.46 / $2,700.46 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,313.33 / $2,551.94 / $3,624.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,228.63 / $5,655.52 / $6,766.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,875.31 / $6,276.05 / $8,104.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,700.46 / $3,286.00 / $4,590.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,661.98 / $4,544.12 / $19,758.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,313.00 / $2,313.00 / $2,313.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,549.14 / $4,159.13 / $6,986.45