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Wisconsin rates for HCPCS 15842

Graft for facial nerve paralysis; free muscle flap by microsurgical technique

Facilitymedian $4,786 · 10th–90th $3,020$7,7620%10%10th90th$4,786Professionalmedian $3,631 · 10th–90th $2,239$8,9130%10%10th90th$3,631$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $5,495.41 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,570.40 / $5,495.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $5,128.61 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $7,943.28 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $5,495.41 / $7,762.47
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,011.87 / $8,709.64
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,606.93 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,073.80 / $7,585.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,265.80 / $11,481.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $3,311.31
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,265.80 / $4,786.30
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,309.57 / $7,413.10
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,623.41 / $8,128.31
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $18,197.01 / $18,197.01
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $19,498.45
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $4,897.79
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $11,220.18 / $12,589.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,548.13 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,890.45 / $9,772.37