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Kansas 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
$1,797.00 / $5,467.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.66 / $1,457.49 / $2,260.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.33 / $2,628.62 / $2,628.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.02 / $1,959.49 / $3,360.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.51 / $2,007.38 / $5,323.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,451.33 / $1,754.26 / $13,577.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.38 / $1,671.93 / $2,355.23