go back

Indiana 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
$1,386.00 / $3,049.27 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.22 / $1,865.67 / $2,554.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,838.00 / $17,380.30 / $25,253.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.04 / $2,073.90 / $2,861.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,840.39 / $2,526.02 / $3,789.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,804.30 / $2,255.38 / $3,247.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,658.00 / $2,362.07 / $4,078.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.74 / $2,123.15 / $3,927.83