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Kentucky 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
$860.00 / $1,481.15 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.24 / $1,350.18 / $2,332.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $9,015.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.36 / $1,368.58 / $2,099.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.43 / $1,803.47 / $2,080.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.82 / $1,803.47 / $2,576.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.50 / $1,579.28 / $1,579.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.07 / $1,859.19 / $2,783.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,674.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.20 / $1,721.59 / $2,718.90