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Wyoming 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
Professional
Modifier
Low / Median / High Price
$2,453.05 / $2,494.27 / $3,131.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,719.00 / $5,663.00 / $8,567.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,289.99 / $4,934.99 / $6,803.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.41 / $5,037.30 / $8,403.17