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Colorado 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
$2,018.00 / $5,503.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,167.13 / $2,453.05 / $3,453.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,834.00 / $18,248.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,715.80 / $3,460.98 / $5,550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,567.29 / $3,289.99 / $4,954.62
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,453.05 / $3,257.71 / $4,366.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,671.64 / $3,521.70 / $4,857.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,569.60 / $3,543.68 / $5,636.82