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Building Up the Contour of a Facial Bone

South Dakota rates for HCPCS 21208

Surgery that adds to the contour of a facial bone using the patient's own bone, donated bone, or a manufactured implant, to build out an area that is flat, sunken, or underdeveloped. The material is shaped and fixed to the bone underneath through a hidden incision so that it stays in position.

Professionalmedian $1,738 · 10th–90th $741$3,5480%10%10th90th$1,738$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,513.56
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,187.76
Typical High
$4,897.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$3,981.07
Typical High
$12,022.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,862.09
Typical High
$3,981.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,862.09
Typical High
$4,168.69
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,137.96
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$2,041.74
Typical High
$4,677.35
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,778.28
Typical High
$3,801.89