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Vermont rates for HCPCS 21256

Reconstruction Orbit W/Osteotomies & Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.25 / $1,457.25 / $1,458.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.47 / $2,064.35 / $2,799.92
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.33 / $1,853.27 / $2,799.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.22 / $1,758.58 / $5,112.32