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Wyoming 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
$2,282.29 / $2,319.31 / $2,912.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,388.00 / $5,266.00 / $7,966.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,007.20 / $4,510.80 / $6,328.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,539.15 / $4,323.79 / $7,976.79