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Texas 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
$891.25 / $3,630.78 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $954.99 / $1,548.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,413.10 / $15,488.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $1,445.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $812.83 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $1,905.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $16,595.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,230.27 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,122.02 / $1,479.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $117.49 / $776.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,737.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,174.90 / $2,089.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,230.27 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,918.31 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,479.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $851.14 / $851.14