go back

Alabama rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.24 / $1,347.48 / $2,247.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,931.14 / $7,197.72 / $9,683.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,046.50 / $3,149.58 / $3,716.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.00 / $1,729.25 / $4,863.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.00 / $3,816.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.38 / $1,388.87 / $2,370.94