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Minnesota rates for HCPCS 21267

Orbital Repositioning W/Bone Grafts Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,601.85 / $1,601.85 / $7,397.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.58 / $1,601.85 / $2,520.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,034.95 / $11,939.03 / $22,972.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,773.88 / $4,469.47 / $5,780.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,859.79 / $5,476.48 / $13,174.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,889.66 / $4,603.14 / $6,836.39
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,508.90 / $5,006.82 / $10,373.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,616.19 / $4,117.43 / $6,269.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.23 / $2,764.57 / $7,872.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.09 / $3,196.52 / $6,501.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.09 / $3,014.80 / $6,176.68