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Alaska rates for HCPCS 21183

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 greater than 40 sq cm but less than 80 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,661.18 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,138.92 / $11,297.59 / $11,297.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,712.75 / $7,748.14 / $9,806.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.94 / $11,297.59 / $15,816.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,601.60 / $6,721.92 / $13,646.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,343.75 / $11,556.68 / $13,744.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.94 / $11,297.59 / $15,816.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,435.77 / $11,327.25 / $14,693.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,178.64 / $10,847.41 / $13,636.74