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Vermont 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
Professional
Modifier
Low / Median / High Price
$2,710.75 / $2,727.90 / $2,727.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,503.32 / $3,984.52 / $5,209.38
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,422.21 / $3,452.43 / $5,209.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.91 / $3,218.64 / $9,511.71