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North Carolina 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
$1,520.50 / $5,017.00 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.43 / $1,537.04 / $4,317.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.31 / $2,947.41 / $4,753.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.95 / $2,176.64 / $3,951.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.50 / $1,900.12 / $3,072.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,900.12 / $2,006.00 / $2,006.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,003.70 / $4,079.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.05 / $1,816.09 / $3,826.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,181.68 / $14,181.68
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,677.74 / $13,677.74 / $13,677.74