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North Carolina 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
$1,615.00 / $2,659.14 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.14 / $2,090.71 / $3,657.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.44 / $2,864.73 / $5,121.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.25 / $2,818.48 / $4,656.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,948.00 / $2,442.55 / $3,900.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,181.00 / $2,181.00 / $2,574.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $2,614.69 / $4,791.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.81 / $2,363.12 / $4,842.43
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $27,454.80 / $27,454.80
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29,283.99 / $29,283.99 / $29,283.99