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Georgia 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
$3,467.37 / $5,623.41 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,630.27 / $5,011.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,801.89 / $6,918.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,801.89 / $5,495.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,511.89 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,890.45 / $6,309.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,548.13 / $13,803.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $6,918.31 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,235.94 / $5,495.41