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Ohio rates for HCPCS 21146

Rcnstj Midface Lefort I 2 Pieces W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,984.00 / $6,075.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.25 / $1,575.65 / $2,835.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,142.00 / $14,428.74 / $24,745.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.21 / $1,670.39 / $2,641.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.59 / $1,544.28 / $2,248.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.53 / $1,665.40 / $2,119.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.01 / $2,130.75 / $3,114.02
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,815.11 / $1,815.11 / $1,815.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.70 / $2,199.12 / $3,099.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $1,128.70 / $1,909.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.61 / $2,016.85 / $3,258.55