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Wyoming rates for HCPCS 21154

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

Facilitymedian $12,023 · 10th–90th $5,129–$18,6210%20%40%10th90th$12,023Professionalmedian $3,715 · 10th–90th $1,905–$6,7610%20%10th90th$3,715$2.0K$5.0K$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
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,949.84 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,623.41 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,311.31 / $4,570.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $12,022.64 / $18,620.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,801.89 / $7,079.46