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Ohio 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
$1,414.24 / $6,075.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.50 / $1,334.66 / $3,331.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.00 / $4,426.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.90 / $1,650.43 / $4,585.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.77 / $1,269.56 / $1,848.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.41 / $1,369.14 / $1,742.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.01 / $1,795.37 / $2,570.60
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,491.55 / $1,491.55 / $1,491.55
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.90 / $1,869.19 / $2,570.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $929.42 / $1,592.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.66 / $1,657.16 / $2,743.39