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North Carolina 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
$1,615.00 / $4,043.30 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,300.84 / $2,542.63 / $4,683.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.39 / $3,760.20 / $6,285.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,650.06 / $3,519.41 / $6,079.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,420.34 / $3,088.00 / $5,034.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,026.39 / $3,365.00 / $3,365.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $3,187.70 / $6,281.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,110.05 / $2,923.20 / $6,432.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $22,469.44 / $22,469.44
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,227.73 / $23,227.73 / $23,227.73