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Florida rates for HCPCS 21147

Rcnstj Midface Lefort I 3/> Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.00 / $4,790.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.81 / $1,670.52 / $2,193.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.10 / $2,134.33 / $3,422.69
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.02 / $1,464.03 / $1,840.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.88 / $1,215.65 / $2,124.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.49 / $1,743.04 / $3,128.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.96 / $1,304.96 / $1,556.15