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Kansas 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
$2,757.00 / $6,071.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.36 / $1,593.47 / $2,534.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.63 / $2,344.27 / $2,344.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.10 / $2,132.73 / $3,146.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,354.45 / $2,209.86 / $4,960.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.97 / $2,040.00 / $15,441.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.02 / $1,927.95 / $2,720.70