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Washington, DC rates for HCPCS 21146

Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted unilateral alveolar cleft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,888.44 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,659.59 / $4,570.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,715.35 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,995.26 / $4,466.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $3,388.44 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $16,218.10 / $33,884.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,137.96 / $4,466.84