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Minnesota 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
$1,621.81 / $1,621.81 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,621.81 / $3,388.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,025.60 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,801.89 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $5,888.44 / $14,125.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,786.30 / $7,079.46
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,754.40 / $11,220.18
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,090.30 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $9,120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,754.40 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,951.21 / $5,888.44