go back

Alabama rates for HCPCS 21268

Orbital Repositioning W/Bone Grafts Icra & Xtrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $2,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.07 / $1,827.53 / $3,208.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,945.68 / $7,197.72 / $9,683.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.25 / $2,525.00 / $3,237.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.29 / $2,193.26 / $5,990.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.00 / $3,816.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.90 / $1,964.66 / $3,189.04