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Alaska rates for HCPCS 21180

Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,000.00 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,187.76 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $5,623.41 / $7,244.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,691.53 / $11,748.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $5,623.41 / $8,511.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $6,918.31 / $9,772.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,630.27 / $9,120.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $2,344.23 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $7,762.47 / $10,000.00