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Indiana rates for HCPCS 21159

Rcnstj Midface Lefort Iii W/Fhd W/O Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $3,500.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,176.53 / $2,427.58 / $3,277.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,838.00 / $17,380.30 / $25,253.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,364.35 / $3,519.40 / $4,751.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,333.01 / $3,032.91 / $3,499.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,333.01 / $2,799.61 / $3,499.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,552.67 / $3,396.22 / $5,365.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,118.25 / $2,933.31 / $5,220.31