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Nationwide rates for HCPCS 21154

Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); without LeFort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,897.79 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,089.30 / $4,786.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $10,964.78 / $21,877.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,630.27 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $4,365.16 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,951.21 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $7,244.36 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,344.23 / $4,265.80