go back

Louisiana rates for HCPCS 21268

Orbital Repositioning W/Bone Grafts Icra & Xtrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,562.00 / $4,425.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.79 / $2,622.35 / $3,544.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,098.78 / $2,576.94 / $3,287.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,775.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.65 / $2,642.81 / $3,585.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,913.00 / $11,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.49 / $2,140.21 / $3,793.64