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Rhode Island rates for HCPCS 21267

Orbital Repositioning W/Bone Grafts Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,955.04 / $5,496.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.43 / $2,032.99 / $2,374.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.65 / $1,906.79 / $3,214.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,986.23 / $2,617.30 / $3,364.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.82 / $2,032.55 / $3,598.29