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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,622.07 / $1,816.79 / $10,753.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,080.13 / $2,377.30 / $2,971.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.33 / $2,367.50 / $3,896.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,816.79 / $2,476.57 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.91 / $2,117.88 / $29,283.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,455.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.12 / $1,941.85 / $3,844.34