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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
$2,570.40 / $5,623.41 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $3,235.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,413.10 / $7,413.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,862.09 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,041.74 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,819.70 / $13,489.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,677.35 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,659.59 / $2,344.23