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Michigan rates for HCPCS 15845

Graft for facial nerve paralysis; regional muscle transfer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.83 / $1,244.83 / $6,906.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.84 / $1,244.83 / $1,244.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,202.58 / $3,735.71 / $5,255.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.14 / $1,605.99 / $2,505.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.04 / $1,043.90 / $4,191.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.90 / $1,244.83 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.90 / $1,149.88 / $1,582.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.24 / $750.71 / $1,194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,780.00 / $10,556.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.02 / $1,154.58 / $1,467.97