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Mississippi 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
$850.00 / $1,831.00 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.28 / $1,828.19 / $3,980.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,519.00 / $3,519.00 / $3,519.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.21 / $2,887.61 / $4,279.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,956.00 / $10,251.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.49 / $2,105.10 / $4,373.43