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Nationwide rates for HCPCS 21172

Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $5,248.07 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,187.76 / $4,570.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $10,000.00 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,454.71 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $3,715.35 / $14,125.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,884.03 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $7,079.46 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,290.87 / $4,466.84