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Vermont 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
$1,819.70 / $2,398.83 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,630.78 / $9,549.93
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,365.16 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,630.78 / $8,709.64