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Kansas 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
$2,982.00 / $6,071.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.65 / $2,495.09 / $3,900.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,130.41 / $3,682.83 / $3,682.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,313.53 / $3,259.69 / $4,881.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,053.46 / $3,404.58 / $7,310.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,542.32 / $3,092.52 / $23,227.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,531.69 / $2,950.65 / $4,301.96