go back

Nevada 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
$1,775.55 / $3,042.00 / $6,953.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.67 / $1,674.37 / $9,141.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.00 / $5,379.00 / $14,000.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,747.50 / $2,027.28 / $2,812.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.66 / $2,069.46 / $3,018.44
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $1,880.95 / $4,403.22
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.60 / $2,257.14 / $6,004.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,794.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.41 / $1,948.63 / $3,113.47