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Nationwide rates for HCPCS 21142

Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,011.87 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,445.44 / $3,467.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $10,232.93 / $20,417.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,819.70 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $2,884.03 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,995.26 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $7,079.46 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,584.89 / $2,951.21