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Vermont rates for HCPCS 21267

Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,949.84 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,238.72 / $3,630.78
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,344.23 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,290.87 / $6,760.83