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Missouri 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
$1,704.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,694.21 / $2,025.32 / $3,171.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $12,405.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,813.41 / $2,300.76 / $3,589.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,872.10 / $2,604.73 / $4,449.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,576.83 / $2,619.91 / $5,285.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,937.37 / $2,715.63 / $29,283.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,000.00 / $11,258.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,804.68 / $2,507.44 / $4,315.22