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Arizona rates for HCPCS 15845

Graft for facial nerve paralysis; regional muscle transfer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.65 / $968.35 / $1,590.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,228.01 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.78 / $879.71 / $1,022.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.90 / $993.48 / $1,911.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.70 / $1,222.06 / $6,302.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.36 / $984.98 / $9,234.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,511.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.50 / $956.01 / $1,475.43