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Alaska 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

Facilitymedian $4,571 · 10th–90th $2,344–$14,1250%10%10th90th$4,571Professionalmedian $3,467 · 10th–90th $2,291–$10,2330%20%10th90th$3,467$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $10,000.00 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,162.28 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,548.13 / $8,317.64
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,981.07 / $13,489.63
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $7,079.46 / $12,589.25
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $14,125.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,890.45 / $13,489.63
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $3,388.44 / $8,317.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $6,606.93 / $14,791.08