go back

Wisconsin rates for HCPCS 15845

Graft for facial nerve paralysis; regional muscle transfer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $2,187.76 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $2,187.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $2,041.74 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,235.94 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $2,290.87 / $3,090.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,019.95 / $6,918.31
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,630.27 / $3,235.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,090.30 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,513.56 / $4,786.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,318.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,290.87 / $3,388.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $11,220.18 / $11,220.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,949.84 / $9,332.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $4,466.84 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,479.11 / $3,890.45