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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
$1,016.41 / $1,016.41 / $6,642.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.76 / $1,016.41 / $1,590.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,888.94 / $5,762.11 / $12,749.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.19 / $2,336.71 / $3,746.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,565.54 / $3,638.25 / $8,752.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.58 / $3,046.54 / $4,570.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,085.60 / $3,326.23 / $6,891.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.95 / $2,627.93 / $4,179.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.40 / $1,792.80 / $7,268.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.07 / $1,898.80 / $4,074.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.76 / $2,155.84 / $3,915.80