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Indiana 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
$1,386.00 / $3,207.40 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,765.84 / $1,972.70 / $2,671.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,838.00 / $17,380.30 / $25,253.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.45 / $2,739.40 / $3,780.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,897.87 / $2,467.23 / $2,846.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.87 / $2,277.44 / $2,846.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,033.06 / $2,661.52 / $4,283.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.27 / $2,295.98 / $4,128.16