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Alabama 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
$960.00 / $1,728.00 / $2,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,938.97 / $2,075.46 / $3,691.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,931.14 / $7,197.72 / $9,683.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,174.67 / $2,979.00 / $3,723.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,945.59 / $2,689.50 / $7,915.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.00 / $4,106.00 / $7,331.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,818.65 / $2,303.62 / $3,950.33