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Minnesota 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
$1,819.70 / $1,819.70 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,862.09 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,025.60 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $4,265.80 / $6,456.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $6,456.54 / $15,488.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $5,248.07 / $7,762.47
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,165.95 / $12,302.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,365.16 / $7,079.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,388.44 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,548.13 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,754.40 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,467.37 / $6,309.57