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Texas 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
$1,096.48 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,778.28 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,019.95 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,819.70 / $2,570.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $1,445.44 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,238.72 / $3,548.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $15,488.17
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,782.79 / $17,782.79 / $17,782.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,187.76 / $4,786.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,041.74 / $2,691.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $218.78 / $1,445.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $3,235.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,137.96 / $3,801.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,238.72 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,918.31 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,778.28 / $2,754.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,548.82 / $1,548.82