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Washington, DC 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
$1,614.00 / $4,100.00 / $6,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,550.33 / $2,550.33 / $2,550.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,713.61 / $2,891.05 / $6,846.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,427.50 / $3,973.22 / $6,807.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,697.22 / $5,596.80 / $5,596.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,945.08 / $3,304.60 / $6,776.21