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Mississippi rates for HCPCS 21256

Reconstruction Orbit W/Osteotomies & Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.00 / $1,320.00 / $2,690.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.13 / $1,200.97 / $2,690.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,118.87 / $3,118.87 / $3,118.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,353.00 / $2,353.00 / $2,353.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $6,486.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.41 / $1,923.60 / $2,472.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,956.00 / $10,251.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.76 / $1,368.72 / $2,660.52