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Nevada 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
$1,479.11 / $4,365.16 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,584.89 / $3,235.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,128.31 / $8,128.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,995.26 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,949.84 / $2,818.38
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $1,659.59 / $5,011.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $6,309.57
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,168.69 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,737.80 / $2,570.40