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Nationwide rates for HCPCS 21159

Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $5,011.87 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $6,025.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $9,772.37 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,548.13 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $6,606.93 / $18,620.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,890.45 / $7,943.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $7,244.36 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,162.28 / $5,623.41