go back

Wyoming 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)

Facilitymedian $12,023 · 10th–90th $5,129–$18,6210%20%40%10th90th$12,023Professionalmedian $3,236 · 10th–90th $1,660–$5,8880%20%10th90th$3,236$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,737.80 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,897.79 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,951.21 / $4,073.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $12,022.64 / $18,620.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,162.28 / $5,754.40