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Arizona rates for HCPCS 21182

Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting less than 40 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,641.06 / $1,950.88 / $11,175.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,185.96 / $2,498.26 / $3,122.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.02 / $2,481.36 / $4,080.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,007.22 / $2,678.21 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.34 / $2,226.37 / $19,923.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,455.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.89 / $2,040.78 / $4,093.23