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Virginia 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 $1,995$10,9650%5%10%10th90th$3,631Professionalmedian $2,239 · 10th–90th $1,738$4,4670%10%20%10th90th$2,239$500.0$1.0K$2.0K$5.0K$10.0K$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
$1,995.26 / $5,495.41 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,137.96 / $4,265.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $7,413.10 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,754.23 / $4,786.30
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,884.03 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,570.40 / $4,265.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,041.74 / $2,398.83
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,467.37 / $4,570.88
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,630.27 / $4,073.80
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,630.27 / $9,549.93
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,630.27 / $9,549.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $10,471.29 / $21,379.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,398.83 / $3,801.89