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Alaska rates for HCPCS 21138

Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.91 / $4,452.01 / $4,452.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,242.84 / $3,030.10 / $3,920.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.63 / $4,452.01 / $6,232.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,244.85 / $2,693.82 / $5,468.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,301.25 / $4,516.89 / $5,498.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.63 / $4,452.01 / $6,232.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.14 / $4,481.75 / $5,823.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,419.80 / $4,848.16 / $5,332.98