go back

Alaska rates for HCPCS 21155

Rcnstj Midface Lefort Iii W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,357.07 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.23 / $10,781.82 / $10,781.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,416.10 / $7,289.28 / $9,257.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,023.48 / $10,781.82 / $15,094.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,233.68 / $6,280.41 / $12,749.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,830.00 / $10,698.40 / $13,106.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,023.48 / $10,781.82 / $15,094.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,282.66 / $10,574.00 / $13,730.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,831.42 / $8,797.31 / $12,829.12