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Alabama rates for HCPCS 21256

Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,445.44 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,318.26 / $2,398.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $7,244.36 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,584.89 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,445.44 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $4,265.80 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $2,089.30