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Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.71 / $1,255.05 / $1,861.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,502.28 / $3,502.28 / $3,512.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.61 / $1,364.00 / $1,602.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.55 / $1,608.59 / $2,233.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.60 / $1,616.29 / $2,133.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,270.24 / $1,434.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.38 / $1,832.21 / $2,133.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.19 / $1,381.64 / $1,886.47