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Wyoming 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
$2,733.14 / $2,733.14 / $2,733.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,751.00 / $6,335.00 / $7,602.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,355.41 / $3,327.97 / $4,991.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,944.48 / $4,791.56 / $8,504.52