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West Virginia 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
$1,400.00 / $2,300.00 / $2,575.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,343.05 / $2,575.96 / $2,722.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,842.78 / $3,176.39 / $3,460.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,076.20 / $3,076.20 / $3,076.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,036.35 / $3,036.35 / $3,036.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,178.98 / $3,216.40 / $7,068.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.00 / $1,225.00 / $1,225.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.29 / $2,850.23 / $4,179.67