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Delaware 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
$3,422.72 / $5,816.00 / $33,219.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.90 / $1,191.90 / $1,393.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.08 / $1,389.18 / $2,451.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.34 / $1,425.03 / $3,042.67