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Illinois rates for HCPCS 21145

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

Facilitymedian $3,981 · 10th–90th $1,202–$9,7720%10%10th90th$3,981Professionalmedian $1,995 · 10th–90th $1,380–$10,4710%20%10th90th$1,995$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$1,202.26 / $3,548.13 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,778.28 / $4,073.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $10,232.93 / $141,253.75
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $10,471.29 / $10,471.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,137.96 / $3,235.94
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,570.40 / $12,882.50
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $1,905.46 / $2,089.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $5,370.32 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,819.70 / $3,162.28