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Indiana 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
$1,386.00 / $2,503.13 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.30 / $1,542.33 / $2,090.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,039.70 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.44 / $2,039.70 / $2,814.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.14 / $1,925.48 / $2,221.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.14 / $1,636.66 / $2,221.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,955.47 / $4,955.47 / $5,874.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.29 / $2,091.65 / $3,456.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.41 / $1,811.69 / $3,307.41