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Alaska rates for HCPCS 21154

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

Facilitymedian $3,631 · 10th–90th $2,042–$13,4900%10%10th90th$3,631Professionalmedian $2,754 · 10th–90th $1,950–$8,1280%10%10th90th$2,754$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $10,000.00 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,454.71 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,235.94 / $6,606.93
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,388.44 / $10,715.19
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,495.41 / $9,772.37
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $7,943.28 / $11,481.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,311.31 / $10,715.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $2,691.53 / $6,606.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $5,248.07 / $11,481.54