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Iowa 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
$2,187.76 / $4,786.30 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,584.89 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,235.94 / $3,981.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,819.70 / $7,079.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,548.13 / $14,454.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,630.27 / $13,182.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,235.94 / $3,630.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,884.03 / $3,630.78
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
$1,318.26 / $1,995.26 / $3,890.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,630.27 / $3,090.30