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Alaska rates for HCPCS 21208

Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.55 / $3,669.00 / $7,611.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.91 / $3,158.95 / $7,161.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.25 / $3,945.68 / $8,916.62
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,982.15 / $4,880.00 / $9,872.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.91 / $4,672.20 / $10,347.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,213.74 / $7,374.05 / $9,270.23