go back

North Carolina rates for HCPCS 21154

Rcnstj Midface Lefort Iii W/O Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.00 / $2,884.06 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,910.66 / $1,994.43 / $3,852.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.77 / $4,043.14 / $5,282.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.67 / $2,928.30 / $5,249.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,910.66 / $2,560.00 / $4,318.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,362.00 / $2,362.00 / $2,560.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,499.30 / $5,794.40
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
$1,712.89 / $2,433.89 / $5,098.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $17,685.75 / $17,685.75
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,633.29 / $19,633.29 / $19,633.29