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Vermont 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
Professional
Modifier
Low / Median / High Price
$1,191.90 / $1,580.19 / $1,666.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,661.98 / $9,661.98 / $12,000.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.82 / $2,348.41 / $3,044.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.02 / $1,988.04 / $3,044.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.98 / $1,912.11 / $5,558.63