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Oklahoma 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
$1,439.00 / $4,195.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,067.17 / $2,603.19 / $2,625.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,571.50 / $3,270.80 / $3,917.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,261.77 / $3,254.00 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,166.30 / $2,764.97 / $23,227.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,910.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,088.00 / $2,628.00 / $3,705.33