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Minnesota 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 / $1,023.29 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $7,079.46 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,344.23 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,801.89 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,235.94 / $4,897.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,715.35 / $7,244.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,630.27 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,819.70 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,778.28 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,862.09 / $3,715.35