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Idaho 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
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,034.68 / $2,615.07 / $4,100.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,244.37 / $2,992.49 / $3,570.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.52 / $3,448.22 / $4,920.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,232.19 / $3,526.02 / $4,681.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,770.67 / $3,485.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,072.74 / $7,629.08 / $12,587.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,407.08 / $4,008.33 / $4,681.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,919.88 / $2,826.49 / $4,106.42