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Missouri rates for HCPCS 15845

Graft for facial nerve paralysis; regional muscle transfer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.73 / $941.66 / $1,602.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,011.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.05 / $1,131.65 / $1,720.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.94 / $1,262.58 / $2,179.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.27 / $1,902.24 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.67 / $1,264.35 / $9,234.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.51 / $1,097.80 / $1,948.49