go back

Maryland rates for HCPCS 21180

Rcnstj Forehead &/ Supraorbital Rims W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.64 / $1,717.77 / $1,918.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,782.15 / $1,782.15 / $2,110.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.21 / $2,227.86 / $3,870.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.76 / $2,284.82 / $2,972.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.67 / $1,882.28 / $3,384.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.16 / $2,036.86 / $2,507.77