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Georgia rates for HCPCS 21141

Rcnstj Midface Lefort I 1 Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,118.08 / $4,829.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.34 / $1,508.00 / $3,289.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.26 / $4,412.76 / $8,702.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.16 / $1,896.03 / $3,384.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,060.84 / $2,060.84 / $2,060.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,491.55 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.72 / $2,161.13 / $3,389.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.46 / $2,148.75 / $4,069.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.57 / $1,902.35 / $3,397.25