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Idaho 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
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,806.10 / $2,777.41 / $3,734.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.68 / $2,761.74 / $3,210.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.98 / $3,391.51 / $4,518.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,892.22 / $3,155.15 / $4,267.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,507.16 / $3,154.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,072.74 / $7,629.08 / $12,587.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,070.57 / $3,612.43 / $4,267.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,984.60 / $2,708.17 / $3,928.61