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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
$2,238.72 / $2,754.23 / $4,677.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $6,309.57 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,311.31 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,584.89 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $4,677.35 / $8,511.38