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Florida 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
$1,445.44 / $5,495.41 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $398.11 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,041.74 / $3,467.37
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $20,892.96 / $33,113.11
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,202.26 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $10,232.93 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,698.24 / $3,090.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,548.82