go back

Idaho 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
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,483.61 / $3,543.25 / $5,046.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,742.21 / $3,755.17 / $4,366.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,349.32 / $4,436.10 / $6,055.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,974.59 / $4,335.91 / $5,759.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $3,410.34 / $4,290.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,072.74 / $7,629.08 / $12,587.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,187.18 / $4,926.10 / $5,759.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,532.96 / $3,729.08 / $5,351.68