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Georgia rates for HCPCS 21268

Orbital Repositioning W/Bone Grafts Icra & Xtrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.00 / $5,063.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.00 / $2,187.19 / $5,893.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.38 / $5,842.74 / $17,934.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,806.88 / $2,782.41 / $5,141.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,448.47 / $4,163.75 / $5,663.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,252.73 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.32 / $3,088.09 / $5,269.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,174.34 / $2,965.01 / $8,526.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,802.31 / $2,623.23 / $4,490.12