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North Carolina 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
$1,615.00 / $3,065.72 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,775.54 / $1,854.61 / $3,579.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,692.80 / $2,970.88 / $4,783.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.05 / $2,701.13 / $4,696.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.54 / $2,493.39 / $4,012.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,309.00 / $2,522.00 / $2,522.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,320.90 / $5,112.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.62 / $2,390.71 / $4,738.39
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $16,423.12 / $16,423.12
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,236.43 / $18,236.43 / $18,236.43