go back

Ohio 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
$2,240.96 / $6,953.50 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.64 / $2,037.24 / $5,337.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,142.00 / $14,428.74 / $24,745.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.17 / $2,224.01 / $3,592.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,865.08 / $2,034.64 / $2,962.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.21 / $2,194.21 / $2,792.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,064.92 / $2,792.63 / $3,920.66
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,382.40 / $2,382.40 / $2,382.40
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,094.46 / $2,879.19 / $3,920.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.36 / $1,443.20 / $2,501.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.30 / $2,648.67 / $4,277.60