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Tennessee 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
$1,821.00 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,943.85 / $2,363.71 / $3,691.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.00 / $5,856.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250.91 / $3,062.72 / $4,868.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.01 / $3,236.76 / $4,858.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $20,901.20 / $21,330.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,431.33 / $21,431.33 / $21,431.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,604.00 / $5,898.00 / $11,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.13 / $2,637.69 / $4,746.14