go back

West Virginia rates for HCPCS 21145

Rcnstj Midface Lefort I 1 Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,503.53 / $2,300.00 / $14,267.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.43 / $1,537.04 / $2,405.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,488.50 / $1,627.52 / $1,946.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.58 / $1,729.86 / $1,729.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.56 / $1,738.56 / $1,738.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.70 / $2,162.32 / $4,671.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.31 / $1,724.72 / $2,378.56