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Delaware 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
$5,816.00 / $5,816.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.00 / $2,293.67 / $2,293.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,009.94 / $2,397.92 / $4,138.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,965.53 / $2,511.16 / $5,314.30