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Nevada 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
$2,511.89 / $4,168.69 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,630.27 / $4,570.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,128.31 / $8,128.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,715.35 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,388.44 / $4,897.79
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $2,818.38 / $4,786.30
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $6,025.60
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,168.69 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,090.30 / $4,570.88