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Indiana rates for HCPCS 15845

Graft for facial nerve paralysis; regional muscle transfer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,897.79 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $977.24 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $13,803.84 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,202.26 / $1,862.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,174.90 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $1,096.48 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $7,762.47 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $1,621.81