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New York 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
$1,819.00 / $5,324.00 / $12,466.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.46 / $1,673.10 / $3,046.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.68 / $1,768.22 / $3,936.43
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.94 / $3,478.50 / $13,477.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,292.94 / $2,292.94 / $2,292.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.83 / $1,794.83 / $1,794.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.06 / $2,411.82 / $5,896.43
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,705.93 / $4,206.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.62 / $2,446.36 / $3,608.04
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,488.72 / $1,488.72 / $1,488.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.23 / $1,902.04 / $3,355.25
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,794.83
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.06 / $2,410.42 / $5,537.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $14,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.47 / $2,032.51 / $4,840.54
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.04 / $1,902.04 / $7,120.55
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.23 / $2,074.67 / $4,020.61