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Colorado rates for HCPCS 21141

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.56 / $6,028.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.50 / $1,334.66 / $1,903.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.31 / $1,889.04 / $3,029.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.28 / $1,824.84 / $2,746.35
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.66 / $1,783.94 / $2,402.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.58 / $1,916.09 / $2,642.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.81 / $1,899.70 / $3,583.80