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North Carolina rates for HCPCS 21172

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

Facilitymedian $3,631 · 10th–90th $2,042–$12,5890%5%10%10th90th$3,631Professionalmedian $2,344 · 10th–90th $1,820–$5,2480%20%10th90th$2,344$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $6,760.83 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,238.72 / $4,168.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $5,495.41
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,630.27 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,570.40 / $4,570.88
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $4,897.79
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,511.89 / $3,801.89
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,630.78 / $4,365.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $11,748.98 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,089.30 / $3,981.07
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $16,982.44 / $16,982.44
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $19,054.61