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Vermont rates for HCPCS 21263

Periorbital Osteotomies W/Bone Grafts W/Forehead

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,351.46 / $2,351.46 / $2,651.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,427.23 / $3,580.83 / $5,126.04
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.34 / $3,391.45 / $5,126.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,452.48 / $3,219.59 / $9,359.59