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Minnesota 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
$2,238.72 / $2,238.72 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,344.23 / $3,715.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,025.60 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $5,495.41 / $8,317.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $8,128.31 / $19,498.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $6,606.93 / $9,772.37
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,943.28 / $15,135.61
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $5,495.41 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,981.07 / $6,760.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $4,265.80 / $12,589.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,754.40 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $4,073.80 / $8,128.31