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Nebraska 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
$5,011.87 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,511.89 / $13,182.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $11,748.98 / $22,908.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,715.35 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $5,370.32 / $7,079.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,890.45 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $23,442.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $5,754.40 / $7,585.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $5,623.41 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $4,466.84 / $6,165.95