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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,612.69 / $1,790.69 / $9,501.09
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
$1,863.47 / $2,129.67 / $2,662.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.23 / $2,199.37 / $3,539.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,716.14 / $2,361.19 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.00 / $2,077.92 / $18,236.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,455.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.48 / $1,980.00 / $3,871.87