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Wyoming 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
$1,601.54 / $1,626.06 / $2,098.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,006.39 / $5,006.39 / $5,006.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,061.00 / $3,673.00 / $5,557.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.71 / $3,176.57 / $4,449.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,297.61 / $3,266.02 / $5,434.00