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Indiana 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
$1,487.87 / $3,500.00 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.59 / $1,487.87 / $2,032.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $11,294.00 / $22,813.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.28 / $1,640.10 / $2,263.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,466.51 / $2,012.85 / $3,019.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.75 / $1,725.30 / $2,587.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.94 / $6,571.94 / $7,790.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.33 / $1,922.91 / $3,298.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.49 / $1,716.27 / $3,130.64