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Oregon rates for HCPCS 21143

Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft

Facilitymedian $2,754 · 10th–90th $1,905–$10,7150%20%10th90th$2,754Professionalmedian $2,291 · 10th–90th $1,318–$3,8020%10%20%10th90th$2,291$20.0$200.0$2.0K$20.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $7,943.28 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,659.59 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,630.27 / $3,801.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,754.23 / $3,388.44
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,290.87 / $3,548.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,630.27 / $3,715.35
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,754.23 / $2,818.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,290.87 / $3,311.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $2,691.53 / $3,801.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $16,218.10 / $22,908.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,235.94 / $4,365.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $17,782.79 / $25,703.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,691.53 / $3,801.89