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California rates for HCPCS 21180

Rcnstj Forehead &/ Supraorbital Rims W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,421.00 / $9,384.00 / $19,368.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.45 / $1,639.36 / $8,969.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,242.00 / $8,869.27 / $20,248.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,851.57 / $2,363.94 / $4,719.91
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.40 / $100.00 / $10,033.91
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.48 / $1,909.06 / $4,343.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.12 / $2,044.00 / $4,503.04
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.08 / $1,914.43 / $2,409.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.64 / $2,178.66 / $3,903.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $15,446.32 / $15,766.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,970.61 / $17,970.61 / $17,970.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,757.04 / $2,180.92 / $3,282.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.45 / $2,166.05 / $4,503.04
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,565.16 / $5,565.16 / $5,565.16
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.73 / $1,897.61 / $2,393.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,830.00 / $12,341.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.47 / $1,730.40 / $3,748.47