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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,820.00 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,300.84 / $12,157.43 / $12,157.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,149.56 / $8,345.62 / $10,542.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,323.73 / $12,157.43 / $17,020.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,022.10 / $7,226.52 / $14,670.59
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,982.50 / $11,719.20 / $14,782.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,323.73 / $12,157.43 / $17,020.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,698.00 / $10,850.07 / $15,824.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,658.10 / $11,683.88 / $14,688.30