go back

Arizona 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
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.79 / $1,467.40 / $8,024.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.94 / $1,797.65 / $2,247.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.43 / $1,780.56 / $2,924.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $1,933.02 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.13 / $1,618.20 / $15,972.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,388.00 / $6,506.00 / $8,650.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.80 / $1,502.80 / $2,925.17