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Minnesota 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
$1,659.59 / $1,659.59 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,698.24 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,025.60 / $13,803.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,981.07 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $6,025.60 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $4,897.79 / $7,244.36
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,888.44 / $11,220.18
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $4,073.80 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,162.28 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $3,019.95 / $9,332.54
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
$1,621.81 / $2,951.21 / $6,025.60