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California rates for HCPCS 21267

Orbital Repositioning W/Bone Grafts Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,645.00 / $9,862.59 / $21,960.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.44 / $1,570.68 / $8,591.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,585.00 / $11,216.00 / $21,514.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,629.41 / $2,207.23 / $4,524.06
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $15,290.89
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.33 / $1,805.27 / $4,056.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,445.00 / $9,630.34 / $17,248.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.29 / $1,987.89 / $4,456.75
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.10 / $1,874.05 / $2,712.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.64 / $2,082.98 / $3,740.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,836.96 / $26,542.00 / $27,814.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,959.18 / $23,959.18 / $23,959.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,617.35 / $2,044.13 / $3,230.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.34 / $2,062.94 / $4,309.08
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,330.91 / $5,330.91 / $5,330.91
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.06 / $2,080.46 / $2,712.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,142.00 / $12,341.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.03 / $1,667.70 / $3,718.05