go back

Maine 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
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,511.89 / $5,623.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,090.30 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,951.21 / $4,677.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,754.23 / $5,248.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,884.03 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,630.27 / $4,168.69