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California rates for HCPCS 21146

Rcnstj Midface Lefort I 2 Pieces W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $8,090.00 / $18,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.69 / $1,575.65 / $6,249.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,446.00 / $11,046.00 / $22,647.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.64 / $2,415.60 / $4,683.43
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $100.00 / $7,340.45
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.55 / $1,703.90 / $3,878.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.77 / $2,063.55 / $4,489.38
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.75 / $1,538.64 / $2,356.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.66 / $2,108.83 / $3,894.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,812.32 / $15,118.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,308.48 / $14,308.48 / $14,308.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.36 / $2,094.85 / $3,259.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.25 / $2,136.53 / $4,345.14
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,384.35 / $5,384.35 / $5,384.35
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.78 / $1,713.40 / $2,094.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,830.00 / $12,341.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.03 / $1,692.24 / $3,593.98