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Iowa 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
$2,137.96 / $4,786.30 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,548.82 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,090.30 / $3,890.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,778.28 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,467.37 / $14,454.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,630.27 / $12,589.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,162.28 / $3,548.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,691.53 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,964.78 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,949.84 / $3,801.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,570.40 / $3,019.95