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Minnesota 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 $9,550 · 10th–90th $2,884–$22,3870%5%10%10th90th$9,550Professionalmedian $4,677 · 10th–90th $2,188–$7,9430%10%10th90th$4,677$50.0$200.0$1.0K$5.0K$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
$2,187.76 / $2,187.76 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,238.72 / $5,888.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $14,454.40 / $42,657.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,495.41 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $7,943.28 / $18,620.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $6,309.57 / $9,549.93
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $7,585.78 / $14,791.08
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,370.32 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,073.80 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,981.07 / $12,302.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $8,709.64 / $15,135.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,168.69 / $8,128.31