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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.51 / $1,577.05 / $8,637.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,693.41 / $1,935.33 / $2,419.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.85 / $1,994.77 / $3,305.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.28 / $2,085.67 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.20 / $1,810.73 / $16,240.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,759.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.74 / $1,704.14 / $3,311.01