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Kansas 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
$1,930.00 / $5,939.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.75 / $1,378.79 / $2,193.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,196.40 / $2,584.00 / $2,584.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.06 / $1,849.40 / $3,310.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,948.11 / $5,323.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.09 / $1,711.94 / $13,111.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.82 / $1,653.89 / $2,907.74