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Mississippi rates for HCPCS 21268

Orbital Repositioning W/Bone Grafts Icra & Xtrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $1,831.00 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.07 / $1,951.39 / $4,364.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,047.00 / $3,047.00 / $3,047.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,891.00 / $2,961.50 / $4,035.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,956.00 / $10,251.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,710.50 / $2,108.16 / $4,337.25