go back

Ohio 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
$1,984.00 / $6,021.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.34 / $1,615.63 / $4,155.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.00 / $4,426.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.62 / $1,903.12 / $3,100.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.35 / $1,571.29 / $2,288.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.67 / $1,694.53 / $2,156.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.05 / $2,229.17 / $3,232.67
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.64 / $1,858.64 / $1,858.64
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,617.51 / $2,233.69 / $3,232.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.97 / $1,139.59 / $1,943.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.38 / $2,058.42 / $3,242.81