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Virginia 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
$2,610.14 / $5,412.00 / $11,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.16 / $2,373.09 / $3,055.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,685.00 / $17,371.00 / $24,194.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,111.94 / $2,700.70 / $4,465.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,689.06 / $2,700.19 / $7,889.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $2,592.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,247.44 / $2,946.18 / $5,105.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,177.21 / $2,786.83 / $3,262.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.09 / $3,053.86 / $4,457.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,806.00 / $3,273.13 / $4,626.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,185.61 / $2,952.38 / $6,585.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,185.61 / $2,952.38 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,398.00 / $10,000.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.97 / $2,809.28 / $4,442.08