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Ohio 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
$2,384.81 / $7,342.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,101.63 / $2,384.81 / $4,821.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,142.00 / $14,428.74 / $24,745.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.21 / $2,853.96 / $4,637.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,181.78 / $2,380.13 / $3,465.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,525.17 / $2,566.81 / $3,266.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,374.05 / $3,292.98 / $4,810.93
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,789.24 / $2,789.24 / $2,789.24
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,450.13 / $3,383.52 / $4,875.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.88 / $1,749.51 / $2,941.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,009.70 / $3,098.20 / $5,058.70