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Hawaii 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
$1,924.00 / $2,747.00 / $5,484.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,062.78 / $2,062.78 / $2,062.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,045.73 / $2,621.60 / $3,145.92
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,771.38 / $3,113.73 / $3,857.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,307.01 / $2,516.73 / $2,936.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,139.23 / $2,621.60 / $3,421.97
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,893.86 / $3,494.72