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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
$2,238.72 / $7,413.10 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,398.83 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,951.21 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,235.94 / $5,754.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $5,248.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,019.95 / $4,570.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,801.89 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $12,302.69 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,570.40 / $4,897.79
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $20,892.96 / $20,892.96
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62