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Iowa 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 $5,370 · 10th–90th $3,467–$12,5890%10%20%10th90th$5,370Professionalmedian $2,692 · 10th–90th $1,995–$5,8880%20%10th90th$2,692$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
$3,467.37 / $5,248.07 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,454.71 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $5,011.87 / $6,309.57
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,019.95 / $12,022.64
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,888.44 / $14,791.08
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,265.80 / $19,498.45
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,011.87 / $5,888.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,964.78 / $15,488.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,162.28 / $6,025.60
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $4,265.80 / $5,011.87