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Nebraska 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
$4,241.22 / $11,611.47 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.43 / $1,463.43 / $8,591.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,522.85 / $8,579.33 / $16,595.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.45 / $2,390.55 / $3,187.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,355.72 / $7,355.72 / $7,355.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,345.00 / $3,598.66 / $4,872.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.43 / $2,561.00 / $8,757.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,980.12 / $3,274.82 / $4,505.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,932.00 / $3,725.02 / $8,938.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,447.59 / $3,305.37 / $4,872.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,980.12 / $3,381.44 / $4,264.88