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Nebraska 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
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,088.67 / $2,088.67 / $12,165.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,086.90 / $11,951.75 / $23,118.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.52 / $3,416.79 / $4,555.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,553.00 / $5,093.76 / $6,915.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.67 / $3,655.17 / $7,441.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,831.08 / $4,682.16 / $6,387.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,702.35 / $5,191.07 / $7,097.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,819.00 / $4,748.96 / $6,915.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,210.00 / $7,221.00 / $8,632.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,831.08 / $4,834.60 / $6,097.70