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Alaska rates for HCPCS 21179

Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,384.60 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.54 / $7,436.44 / $7,436.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,756.16 / $5,075.01 / $6,493.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.44 / $7,436.44 / $10,411.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,706.10 / $4,447.32 / $9,028.51
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,450.00 / $7,514.00 / $9,098.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.44 / $7,436.44 / $10,411.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,261.53 / $7,325.50 / $9,627.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,902.46 / $6,958.59 / $8,932.04