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Vermont 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
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,089.30 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,238.72 / $3,715.35
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,398.83 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,344.23 / $3,981.07