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Alabama rates for HCPCS 21256

Reconstruction Orbit W/Osteotomies & Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.72 / $1,110.44 / $1,976.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,945.68 / $7,197.72 / $9,683.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.98 / $1,526.00 / $1,907.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.75 / $1,433.26 / $4,142.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.00 / $3,816.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.88 / $1,204.75 / $2,048.08