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Nebraska 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
$5,011.87 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,137.96 / $11,220.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $11,748.98 / $22,908.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,162.28 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $4,677.35 / $6,025.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,311.31 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,890.45 / $19,952.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $4,897.79 / $6,456.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,786.30 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,801.89 / $5,248.07