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Illinois 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 $4,786 · 10th–90th $1,288–$9,7720%10%20%10th90th$4,786Professionalmedian $3,236 · 10th–90th $2,399–$6,4570%20%10th90th$3,236$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$1,202.26 / $4,265.80 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,162.28 / $5,888.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $10,232.93 / $61,659.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,981.07 / $5,888.44
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,786.30 / $11,220.18
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,548.13 / $3,890.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $2,754.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $5,370.32 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,388.44 / $5,754.40