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Maryland rates for HCPCS 21267

Orbital Repositioning W/Bone Grafts Extracranial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.67 / $1,593.20 / $1,832.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.00 / $1,713.71 / $1,970.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.00 / $1,012.17 / $4,629.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.46 / $2,065.79 / $3,678.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.88 / $2,156.73 / $2,827.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.60 / $1,787.28 / $3,288.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.47 / $1,922.66 / $2,366.64