go back

Arkansas rates for HCPCS 21151

Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $2,154.00 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.97 / $2,154.00 / $2,787.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,920.73 / $2,400.92 / $2,542.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,970.41 / $2,924.37 / $3,377.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,992.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.60 / $2,104.03 / $3,432.51