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Iowa rates for HCPCS 21160

Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); with LeFort I

Facilitymedian $5,248 · 10th–90th $4,169–$10,9650%10%20%10th90th$5,248Professionalmedian $3,236 · 10th–90th $2,570–$7,0790%10%20%10th90th$3,236$100.0$500.0$2.0K$10.0K

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
$4,168.69 / $4,786.30 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,162.28 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $6,456.54 / $7,943.28
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,890.45 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,606.93 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $5,495.41 / $32,359.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $6,760.83 / $7,585.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,495.41 / $7,585.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,964.78 / $15,488.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,073.80 / $7,762.47
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,370.32 / $6,309.57