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North Carolina 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 / $5,754.40 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,737.80 / $4,466.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,089.30 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,344.23 / $3,890.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $3,890.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,187.76 / $3,388.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,754.23 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $12,302.69 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,819.70 / $3,311.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $15,488.17 / $15,488.17
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,782.79 / $17,782.79 / $17,782.79