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Oklahoma 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
$1,392.00 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,281.38 / $2,632.78 / $2,726.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,018.14 / $3,365.36 / $4,105.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.00 / $2,951.70 / $4,393.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,353.25 / $2,834.84 / $19,758.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $2,545.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,267.87 / $2,815.32 / $4,108.82