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West Virginia 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
$1,400.00 / $2,087.77 / $3,220.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.80 / $2,182.71 / $2,959.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,078.35 / $2,230.61 / $2,717.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.27 / $2,415.35 / $2,415.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,382.40 / $2,382.40 / $2,382.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,028.65 / $2,983.25 / $5,540.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.01 / $2,470.71 / $3,321.10