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Tennessee 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
$1,821.00 / $4,291.88 / $10,746.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.59 / $1,598.03 / $2,552.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.00 / $5,998.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,574.08 / $2,125.41 / $3,424.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.30 / $2,193.60 / $3,379.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $27,814.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,959.18 / $23,959.18 / $23,959.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.40 / $1,832.75 / $3,244.86