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Nationwide rates for HCPCS 21184

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 80 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $5,011.87 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,570.40 / $5,370.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $9,332.54 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,235.94 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $6,309.57 / $17,378.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,630.78 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $7,244.36 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,884.03 / $5,370.32