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North Carolina 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
$1,615.00 / $3,434.59 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250.00 / $2,363.71 / $4,369.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,081.05 / $3,608.75 / $6,246.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,501.69 / $3,269.00 / $5,774.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,250.00 / $2,886.00 / $4,586.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,806.00 / $2,806.00 / $2,939.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,966.20 / $6,181.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,306.00 / $10,968.00 / $17,964.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.63 / $2,788.59 / $5,675.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $20,901.20 / $20,901.20
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,431.33 / $21,431.33 / $21,431.33