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Pennsylvania rates for HCPCS 21150

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

Facilitymedian $5,370 · 10th–90th $1,445–$8,5110%10%10th90th$5,370Professionalmedian $1,698 · 10th–90th $1,479–$3,1620%20%40%10th90th$1,698$10.0$50.0$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $5,370.32 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,698.24 / $2,884.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,000.00 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,995.26 / $3,235.94
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,238.72 / $2,884.03
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,905.46 / $2,818.38
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $4,265.80 / $8,511.38
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,659.59 / $2,630.27
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,454.71 / $3,548.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,905.46
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,621.81 / $3,019.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $5,754.40 / $19,054.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,905.46 / $3,311.31