go back

Minnesota 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
$1,584.89 / $1,584.89 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,584.89 / $3,801.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,025.60 / $12,882.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,630.78 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $5,623.41 / $13,489.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $4,570.88 / $6,918.31
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $5,495.41 / $10,715.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,890.45 / $6,165.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,019.95 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $3,019.95 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,754.40 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,818.38 / $5,623.41