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Tennessee 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
$900.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.83 / $932.58 / $1,458.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $5,486.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.47 / $1,189.95 / $1,842.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.99 / $1,272.15 / $1,918.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $16,547.20 / $16,547.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,385.95 / $8,385.95 / $8,385.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.08 / $1,048.20 / $1,890.63