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Alaska rates for HCPCS 21175

Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining autografts)

Facilitymedian $4,074 · 10th–90th $2,344–$14,1250%10%10th90th$4,074Professionalmedian $3,090 · 10th–90th $2,138–$9,1200%20%10th90th$3,090$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $10,000.00 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,818.38 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,467.37 / $7,413.10
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,388.44 / $12,022.64
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $6,165.95 / $11,220.18
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $12,882.50
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,388.44 / $12,022.64
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $3,019.95 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $5,888.44 / $13,182.57