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North Carolina 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
$1,550.98 / $2,482.73 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.98 / $1,636.87 / $3,044.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.46 / $2,553.37 / $4,320.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,721.89 / $2,310.96 / $4,085.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.98 / $2,023.32 / $3,299.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.00 / $2,043.00 / $2,057.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,043.80 / $4,287.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.09 / $1,999.14 / $4,138.07
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,426.72 / $14,426.72
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,441.12 / $15,441.12 / $15,441.12