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Florida 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
$1,508.97 / $4,790.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.28 / $1,806.10 / $2,405.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.82 / $2,380.04 / $3,788.21
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.51 / $1,775.26 / $2,119.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.57 / $1,312.01 / $2,262.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.66 / $1,980.00 / $3,475.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.84 / $1,331.84 / $1,771.84