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Minnesota 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
$2,454.71 / $2,454.71 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,454.71 / $4,073.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,025.60 / $19,952.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $5,888.44 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,709.64 / $20,892.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $7,079.46 / $10,715.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $8,511.38 / $16,595.87
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $6,025.60 / $9,549.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $4,168.69 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $4,786.30 / $13,803.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,754.40 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $4,466.84 / $8,709.64