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Kentucky rates for HCPCS 21267

Orbital Repositioning W/Bone Grafts Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.00 / $1,673.31 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.59 / $1,519.56 / $1,797.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,104.00 / $5,280.00 / $12,101.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.57 / $1,448.49 / $2,076.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.97 / $2,037.66 / $2,350.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.72 / $2,037.66 / $2,910.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.28 / $1,794.83 / $1,794.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.52 / $2,107.31 / $2,990.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,892.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.58 / $1,979.96 / $3,043.36