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Nationwide rates for HCPCS 21147

Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted bilateral alveolar cleft or multiple osteotomies)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $5,011.87 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,737.80 / $4,265.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $10,000.00 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,137.96 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $3,467.37 / $12,302.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,454.71 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $7,244.36 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,949.84 / $3,715.35