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South Carolina 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
$4,466.84 / $12,022.64 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,659.59 / $3,467.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $9,332.54 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,698.24 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,737.80 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,137.96 / $3,890.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $3,715.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,089.30 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $17,378.01 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,698.24 / $2,754.23