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Nevada 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
$1,642.00 / $3,463.00 / $6,953.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.75 / $1,295.95 / $2,193.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.00 / $5,379.00 / $8,190.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.18 / $1,627.71 / $2,339.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.17 / $1,669.30 / $2,508.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.20 / $1,527.89 / $4,458.30
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,537.87 / $6,537.87 / $6,537.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $1,319.32 / $6,079.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,794.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.63 / $1,493.58 / $2,389.44