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Alaska rates for HCPCS 15845

Graft for facial nerve paralysis; regional muscle transfer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.48 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,109.71 / $5,109.71 / $5,352.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.72 / $1,728.72 / $3,349.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,109.71 / $7,153.59 / $7,306.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,347.13 / $2,795.70 / $3,129.51
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,309.09 / $4,311.89 / $4,676.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,109.71 / $7,153.59 / $7,306.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.33 / $3,220.19 / $6,562.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.83 / $2,679.50 / $4,042.31