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Indiana 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
$850.10 / $2,184.76 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.59 / $850.10 / $1,152.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.40 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.79 / $784.46 / $1,123.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.01 / $1,075.10 / $1,240.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.01 / $992.41 / $1,240.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.74 / $3,909.74 / $4,634.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.39 / $1,130.00 / $1,873.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.78 / $983.28 / $1,730.40