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Oregon rates for HCPCS 21154

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

Facilitymedian $3,802 · 10th–90th $2,570–$10,7150%20%10th90th$3,802Professionalmedian $3,162 · 10th–90th $1,862–$5,2480%10%10th90th$3,162$50.0$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,897.79 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,137.96 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,801.89 / $5,128.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,548.13 / $4,570.88
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,311.31 / $4,897.79
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,548.13 / $5,011.87
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,715.35 / $3,890.45
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,235.94 / $4,786.30
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $3,715.35 / $5,248.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $14,791.08 / $22,387.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,466.84 / $5,754.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $17,782.79 / $25,703.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,890.45 / $5,248.07