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Minnesota rates for HCPCS 21256

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

Facilitymedian $7,413 · 10th–90th $1,549–$21,3800%5%10th90th$7,413Professionalmedian $2,692 · 10th–90th $1,230–$4,4670%5%10%10th90th$2,692$50.0$200.0$1.0K$5.0K$20.0K

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
$1,230.27 / $1,230.27 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,258.93 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $13,803.84 / $27,542.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,162.28 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,466.84 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,630.78 / $5,370.32
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,265.80 / $8,511.38
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,019.95 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,454.71 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,290.87 / $6,918.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $6,760.83 / $15,135.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,398.83 / $4,677.35