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Ohio rates for HCPCS 15845

Graft for facial nerve paralysis; regional muscle transfer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.23 / $5,201.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.14 / $919.59 / $1,736.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $3,576.00 / $14,996.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.23 / $1,025.20 / $1,656.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.98 / $1,488.14 / $1,488.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.70 / $1,102.13 / $1,102.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.94 / $1,219.34 / $2,071.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.36 / $1,302.52 / $2,071.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.08 / $784.45 / $1,308.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,513.00 / $7,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.86 / $1,071.60 / $2,041.93