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Alabama 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
$960.00 / $1,728.00 / $2,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.94 / $2,269.03 / $3,971.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,931.14 / $7,197.72 / $9,683.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,294.39 / $3,143.00 / $3,928.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,092.60 / $2,863.54 / $7,412.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.00 / $3,816.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.50 / $2,430.34 / $4,410.57