go back

Indiana rates for HCPCS 21160

Rcnstj Midface Lefort Iii W/Fhd W/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
$2,362.07 / $2,632.97 / $3,554.51
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
$2,447.63 / $3,730.40 / $5,059.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.92 / $3,288.90 / $3,794.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,529.92 / $2,967.67 / $3,794.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,730.20 / $3,609.32 / $5,818.81
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
$2,297.75 / $3,023.68 / $5,546.09