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Hawaii 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
$2,583.13 / $3,107.00 / $8,431.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,569.33 / $1,569.33 / $1,569.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.30 / $2,027.06 / $2,432.48
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.64 / $2,349.27 / $2,773.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.82 / $1,945.98 / $2,270.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.69 / $2,027.06 / $2,650.80
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.94 / $5,316.74 / $11,157.30