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Arizona rates for HCPCS 21267

Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $9,112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.98 / $1,543.84 / $8,591.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,934.39 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.86 / $1,894.70 / $2,368.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.22 / $1,886.30 / $3,147.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.36 / $2,069.87 / $7,207.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.79 / $1,718.74 / $23,959.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.90 / $1,605.57 / $3,066.78