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Ohio rates for HCPCS 21160

Rcnstj Midface Lefort Iii W/Fhd W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.73 / $7,342.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,366.84 / $2,757.17 / $5,438.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,142.00 / $14,428.74 / $24,745.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,321.94 / $3,296.78 / $5,318.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.50 / $2,692.91 / $3,921.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,904.12 / $2,904.12 / $3,696.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,727.11 / $3,736.38 / $5,535.91
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,184.07 / $3,184.07 / $3,184.07
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,772.12 / $3,828.16 / $5,535.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.31 / $1,946.29 / $3,297.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,269.55 / $3,456.68 / $5,725.13