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Alaska rates for HCPCS 21141

Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without bone graft

Facilitymedian $2,512 · 10th–90th $1,413–$12,0230%10%10th90th$2,512Professionalmedian $1,905 · 10th–90th $1,259–$5,6230%20%10th90th$1,905$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $10,000.00 / $41,686.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,698.24 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,089.30 / $4,466.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,041.74 / $9,332.54
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,890.45 / $7,079.46
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $7,762.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,041.74 / $7,244.36
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $1,862.09 / $4,466.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $3,548.13 / $7,943.28