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Tennessee 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
$1,148.15 / $2,818.38 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,737.80 / $3,467.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $7,079.46 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,398.83 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,290.87 / $3,548.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $15,488.17 / $15,488.17
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,782.79 / $17,782.79 / $17,782.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,754.40 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,949.84 / $3,388.44