go back

Illinois rates for HCPCS 21267

Orbital Repositioning W/Bone Grafts Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.00 / $3,221.00 / $8,125.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.70 / $1,617.35 / $3,053.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,838.36 / $17,339.41 / $37,819.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,912.66 / $2,644.77 / $2,821.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.00 / $9,541.83 / $10,652.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.44 / $2,265.73 / $3,365.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,693.57 / $2,617.34 / $6,825.62
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.59 / $2,001.49 / $2,219.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,510.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,820.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.94 / $1,975.42 / $3,601.45