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Michigan rates for HCPCS 21138

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

Facilitymedian $4,898 · 10th–90th $4,074–$6,9180%20%10th90th$4,898Professionalmedian $955 · 10th–90th $813–$1,6220%20%10th90th$955$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $933.25 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $1,380.38 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,096.48 / $3,090.30
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,096.48 / $1,905.46
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,122.02 / $2,570.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $7,762.47 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,071.52 / $1,412.54