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Delaware 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
$6,907.00 / $6,907.00 / $7,265.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.51 / $1,608.75 / $1,608.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,380.19 / $5,380.19 / $5,380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.92 / $1,613.70 / $2,867.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.27 / $1,714.20 / $3,713.52