go back

New Jersey 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
$2,493.50 / $6,396.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,143.19 / $2,389.42 / $4,211.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,374.05 / $3,324.53 / $7,097.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,889.04 / $3,851.66 / $3,905.08
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.91 / $2,901.55 / $5,670.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.91 / $3,295.59 / $7,428.28