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North Carolina 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
$1,429.48 / $2,082.59 / $12,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.57 / $1,562.21 / $2,768.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.20 / $2,728.44 / $3,892.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.45 / $2,122.77 / $3,654.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.94 / $1,962.00 / $2,966.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.00 / $1,707.00 / $1,946.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,967.50 / $3,833.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,020.00 / $10,968.00 / $17,964.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.49 / $1,895.45 / $3,731.01
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $13,835.20 / $13,835.20
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,972.78 / $15,972.78 / $15,972.78