go back

New Mexico 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
$1,000.00 / $2,331.98 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.16 / $2,331.98 / $8,427.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,230.13 / $3,345.20 / $4,349.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,580.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,196.50 / $2,896.41 / $4,887.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,243.85 / $3,456.70 / $5,648.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $12,494.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,568.17 / $3,292.31 / $4,728.47