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Alaska rates for HCPCS 21268

Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,733.88 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.14 / $9,724.86 / $9,724.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,960.84 / $6,670.92 / $8,611.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,879.50 / $9,724.86 / $13,614.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.25 / $5,876.70 / $11,930.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,363.75 / $9,538.00 / $12,028.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,879.50 / $9,724.86 / $13,614.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,952.28 / $8,837.64 / $13,074.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,336.74 / $9,339.29 / $11,740.83