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Iowa 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
$2,884.03 / $4,786.30 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,905.46 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,168.69 / $5,128.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,511.89 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,365.16 / $10,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,715.35 / $18,197.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,466.84 / $4,897.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,981.07 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,964.78 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,754.23 / $5,128.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,467.37 / $4,073.80