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Nevada 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
$2,052.44 / $3,042.00 / $6,953.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.75 / $2,007.87 / $10,221.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.00 / $5,379.00 / $14,000.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,182.89 / $2,509.94 / $3,192.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,692.34 / $2,565.55 / $3,489.15
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.40 / $2,143.79 / $4,403.22
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.80 / $2,473.61 / $6,004.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,794.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.36 / $2,353.67 / $3,530.61