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Pennsylvania 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
$946.22 / $3,142.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.85 / $914.86 / $1,337.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.39 / $948.89 / $948.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.63 / $1,032.63 / $1,032.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.91 / $1,104.90 / $1,838.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.65 / $1,456.36 / $1,863.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.73 / $953.30 / $3,748.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.20 / $1,031.20 / $1,863.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.63 / $1,032.63 / $1,032.63
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.91 / $1,131.51 / $1,892.39
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.55 / $893.08 / $893.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.38 / $893.08 / $945.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.63 / $1,115.57 / $1,740.93