go back

Idaho rates for HCPCS 21267

Orbital Repositioning W/Bone Grafts Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,805.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.59 / $2,270.44 / $3,267.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,887.02 / $5,887.02 / $5,903.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,799.93 / $2,389.46 / $2,842.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,515.96 / $2,810.28 / $3,953.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,575.19 / $2,809.30 / $3,732.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,207.28 / $2,776.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,715.35 / $3,194.53 / $3,732.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,705.69 / $2,443.29 / $3,459.80