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Kansas 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
$2,789.00 / $6,071.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.34 / $1,831.35 / $2,886.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,458.84 / $2,892.75 / $2,892.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,937.97 / $2,496.73 / $4,076.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,626.84 / $2,755.64 / $5,780.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.55 / $2,403.32 / $18,236.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.55 / $2,370.12 / $3,157.56