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Iowa rates for HCPCS 21188

Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $4,786.30 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,659.59 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,715.35 / $4,570.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,137.96 / $5,888.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,630.78 / $10,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $3,162.28 / $15,488.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,801.89 / $4,265.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,235.94 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,964.78 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,344.23 / $4,570.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,019.95 / $3,548.13