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Maine rates for HCPCS 21267

Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.59 / $1,698.98 / $2,061.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,679.84 / $2,173.91 / $3,047.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.20 / $2,444.62 / $3,477.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.87 / $2,301.12 / $3,530.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.59 / $1,878.61 / $2,061.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.00 / $2,214.15 / $3,184.60