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Colorado 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
$1,911.00 / $5,503.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.32 / $1,410.84 / $2,021.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.88 / $1,995.67 / $3,200.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.42 / $1,927.85 / $2,903.73
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,410.84 / $1,854.88 / $2,539.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.56 / $2,025.46 / $2,793.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.46 / $1,970.88 / $3,200.33