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Iowa 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
$2,454.71 / $4,786.30 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,819.70 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,630.78 / $4,570.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,089.30 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,548.13 / $10,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $3,019.95 / $13,803.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,630.78 / $4,168.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,162.28 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,964.78 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,290.87 / $4,365.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,019.95 / $3,548.13