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Colorado rates for HCPCS 21145

Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.91 / $6,845.00 / $12,360.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.89 / $1,547.91 / $1,999.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,834.00 / $18,248.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,673.48 / $2,191.17 / $3,513.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.03 / $2,083.73 / $3,185.94
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.91 / $1,992.03 / $2,755.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.84 / $2,222.23 / $3,065.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.51 / $2,181.85 / $3,518.75