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Alaska rates for HCPCS 21139

Reduction forehead; contouring and setback of anterior frontal sinus wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,412.54 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,630.78 / $4,677.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,621.81 / $7,413.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,630.78 / $5,495.41
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $4,466.84 / $6,456.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,548.82 / $5,888.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,513.56 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $5,011.87 / $6,456.54