go back

Indiana rates for HCPCS 15845

Graft for facial nerve paralysis; regional muscle transfer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.84 / $2,532.02 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.14 / $876.84 / $1,001.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,536.00 / $7,833.00 / $14,645.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.64 / $1,070.91 / $1,603.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.48 / $1,248.99 / $1,345.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.76 / $1,020.81 / $1,364.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,623.15 / $2,623.15 / $2,623.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.94 / $1,162.41 / $1,703.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.56 / $1,041.64 / $1,783.97