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Ohio rates for HCPCS 21145

Rcnstj Midface Lefort I 1 Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,984.00 / $6,345.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.10 / $1,480.98 / $2,717.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,142.00 / $14,428.74 / $24,745.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.79 / $1,906.68 / $4,212.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,355.68 / $1,478.93 / $2,153.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.50 / $1,594.92 / $2,029.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.69 / $2,030.47 / $2,959.22
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.56 / $1,738.56 / $1,738.56
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,522.43 / $2,066.32 / $2,959.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $1,082.70 / $1,802.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.56 / $1,945.59 / $3,151.51