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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
$1,825.20 / $9,622.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.46 / $1,671.56 / $2,166.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,717.57 / $9,950.93 / $16,952.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.42 / $1,770.71 / $3,011.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $1,740.00 / $8,017.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.45 / $2,176.31 / $3,948.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,612.56 / $1,956.19 / $3,587.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,994.35 / $5,994.35 / $5,994.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $1,139.20 / $2,136.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.06 / $1,782.77 / $3,881.25