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Nevada 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
$1,649.16 / $3,042.00 / $6,953.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.36 / $1,551.63 / $8,643.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.00 / $5,379.00 / $14,000.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.39 / $1,912.63 / $2,710.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.55 / $2,013.99 / $2,871.78
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $1,763.60 / $4,403.22
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $2,116.32 / $6,004.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,794.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.24 / $1,931.38 / $2,979.20