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Colorado 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
$2,018.00 / $5,503.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,377.73 / $2,557.92 / $3,613.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,834.00 / $18,248.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,852.69 / $3,635.43 / $5,829.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,840.04 / $3,556.37 / $5,142.14
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,557.92 / $3,634.10 / $4,604.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,785.86 / $3,672.27 / $5,065.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,836.99 / $3,813.59 / $6,729.80