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Wisconsin 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

Facilitymedian $10,233 · 10th–90th $4,677–$16,9820%5%10%10th90th$10,233Professionalmedian $3,020 · 10th–90th $1,905–$9,1200%10%20%10th90th$3,020$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,265.80 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,089.30 / $5,248.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,964.78 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $4,265.80 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,309.57 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $8,511.38 / $9,549.93
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $4,365.16 / $10,232.93
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,011.87 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $4,365.16 / $13,489.63
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,715.35 / $19,952.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $9,332.54 / $15,848.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,786.30 / $8,709.64
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,466.84 / $6,456.54
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $19,054.61 / $19,054.61
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $10,232.93 / $19,952.62
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $6,760.83 / $6,760.83
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $11,481.54 / $13,182.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $12,022.64 / $15,848.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,162.28 / $8,511.38