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Florida rates for HCPCS 21256

Reconstruction Orbit W/Osteotomies & Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.76 / $4,594.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.66 / $1,185.35 / $1,603.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.44 / $1,552.80 / $2,434.88
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.53 / $1,107.50 / $1,396.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.70 / $914.04 / $1,599.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.59 / $1,270.26 / $2,292.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.76 / $959.76 / $1,084.61