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Delaware 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
$3,980.51 / $5,816.00 / $23,998.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.43 / $1,387.46 / $1,548.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.83 / $1,595.59 / $2,888.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,717.13 / $14,717.13 / $14,717.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.21 / $1,526.47 / $3,553.29