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Maryland rates for HCPCS 21268

Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.38 / $1,996.28 / $2,303.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,930.00 / $2,035.60 / $2,373.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.30 / $2,427.13 / $4,565.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.96 / $2,706.38 / $3,540.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.42 / $2,175.41 / $3,928.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.79 / $2,412.67 / $2,969.77