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Kansas rates for HCPCS 21142

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

Facilitymedian $4,898 · 10th–90th $1,950–$11,7490%5%10%10th90th$4,898Professionalmedian $1,698 · 10th–90th $1,230–$2,5700%10%20%10th90th$1,698$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $5,495.41 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,445.44 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,778.28 / $3,311.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,949.84 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,778.28 / $13,182.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $4,466.84 / $10,964.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,621.81 / $2,187.76