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Florida rates for HCPCS 21142

Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.00 / $5,393.00 / $12,514.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.19 / $1,339.68 / $1,763.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.83 / $1,721.92 / $2,823.12
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,139.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.88 / $1,250.32 / $1,476.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.82 / $980.00 / $1,712.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.69 / $1,430.45 / $2,597.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.64 / $1,049.64 / $1,236.52