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California rates for HCPCS 21145

Rcnstj Midface Lefort I 1 Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.85 / $8,314.41 / $18,827.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.89 / $1,480.98 / $5,827.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,446.00 / $11,046.00 / $22,647.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.24 / $2,205.53 / $4,399.39
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $100.00 / $5,714.18
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.01 / $1,595.93 / $3,635.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.58 / $1,956.56 / $4,296.99
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.77 / $1,403.99 / $2,254.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.04 / $2,018.48 / $3,726.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,181.68 / $14,476.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,677.74 / $13,677.74 / $13,677.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,598.93 / $2,005.04 / $3,055.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.81 / $2,008.59 / $4,171.14
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,158.95 / $5,158.95 / $5,158.95
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.09 / $1,637.99 / $2,003.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,830.00 / $12,341.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.13 / $1,617.49 / $3,496.03