go back

Illinois rates for HCPCS 15845

Graft for facial nerve paralysis; regional muscle transfer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,548.13 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,495.41 / $19,952.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,513.56 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,348.96 / $2,089.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,659.59 / $4,786.30
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,348.96 / $1,479.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,365.16 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $2,089.30