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Virginia rates for HCPCS 21172

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

Facilitymedian $3,981 · 10th–90th $1,862$10,9650%5%10%10th90th$3,981Professionalmedian $2,344 · 10th–90th $1,698$4,5710%10%10th90th$2,344$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,737.80 / $5,011.87 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,238.72 / $3,630.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $7,413.10 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,090.30 / $5,248.07
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,818.38 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,344.23 / $4,570.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,511.89 / $3,019.95
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,951.21 / $4,897.79
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,570.40 / $3,981.07
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,454.71 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,454.71 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $10,471.29 / $21,379.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,290.87 / $3,981.07