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Nationwide rates for HCPCS 21143

Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $4,897.79 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,479.11 / $3,548.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $10,964.78 / $21,379.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,862.09 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $2,951.21 / $10,232.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,089.30 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $7,079.46 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,659.59 / $3,090.30