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Wisconsin rates for HCPCS 21155

Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with LeFort I

Facilitymedian $10,233 · 10th–90th $4,677$16,9820%5%10%10th90th$10,233Professionalmedian $3,162 · 10th–90th $1,995$9,5500%20%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
$2,089.30 / $4,365.16 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,187.76 / $5,370.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,964.78 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $4,365.16 / $10,715.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $6,456.54 / $10,471.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $8,709.64 / $10,000.00
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $4,570.88 / $10,232.93
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,128.61 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $4,570.88 / $13,489.63
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $4,073.80 / $22,387.21
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $9,332.54 / $15,848.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $5,248.07 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,466.84 / $6,606.93
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $19,498.45 / $19,498.45
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $10,471.29 / $22,387.21
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,079.46 / $7,079.46 / $7,079.46
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $12,022.64 / $13,489.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $12,022.64 / $15,848.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,388.44 / $8,912.51