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Nevada 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
$1,642.00 / $3,042.00 / $6,953.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.66 / $1,382.98 / $7,610.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.00 / $5,379.00 / $8,190.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.42 / $1,676.90 / $2,410.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.22 / $1,735.17 / $2,581.98
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.40 / $1,581.47 / $3,475.29
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,537.87 / $6,537.87 / $6,537.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $1,359.72 / $4,739.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,794.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.56 / $1,642.40 / $2,507.23