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Virginia 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

Facilitymedian $4,467 · 10th–90th $2,570$10,9650%5%10%10th90th$4,467Professionalmedian $2,951 · 10th–90th $2,344$5,7540%10%20%10th90th$2,951$500.0$1.0K$2.0K$5.0K$10.0K$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
$2,630.27 / $5,495.41 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,630.27 / $4,786.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $7,413.10 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,715.35 / $6,309.57
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,890.45 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,388.44 / $5,495.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,630.27 / $3,162.28
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,128.61 / $6,025.60
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,388.44 / $5,370.32
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $3,801.89
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,467.37 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,467.37 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $10,471.29 / $21,379.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,235.94 / $5,248.07