go back

Minnesota 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
$1,513.56 / $1,513.56 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,513.56 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,025.60 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,630.78 / $5,495.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $5,370.32 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $4,365.16 / $6,606.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $5,248.07 / $10,232.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,715.35 / $5,888.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,884.03 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,691.53 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,754.40 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,630.27 / $5,370.32