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Oregon 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

Facilitymedian $4,786 · 10th–90th $3,162–$10,7150%20%10th90th$4,786Professionalmedian $3,981 · 10th–90th $2,239–$6,7610%10%10th90th$3,981$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $6,309.57 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,570.40 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,570.88 / $6,456.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,570.88 / $5,888.44
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,981.07 / $6,025.60
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,365.16 / $6,309.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,786.30 / $4,897.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,890.45 / $5,495.41
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $4,677.35 / $6,606.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $14,791.08 / $22,387.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,623.41 / $7,762.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $17,782.79 / $25,703.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,677.35 / $6,606.93