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Vermont rates for HCPCS 21142

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.75 / $1,622.57 / $1,677.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.71 / $2,343.16 / $3,127.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.07 / $2,042.84 / $3,127.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.85 / $1,964.59 / $3,356.60