go back

Alaska rates for HCPCS 21150

Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,819.97 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.41 / $8,174.86 / $8,174.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,111.89 / $5,519.93 / $7,054.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,537.53 / $8,174.86 / $11,444.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.85 / $4,778.22 / $9,700.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,960.00 / $8,135.60 / $9,852.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,537.53 / $8,174.86 / $11,444.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,487.73 / $8,041.00 / $10,463.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,415.93 / $6,661.91 / $9,715.07