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New Mexico 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
$1,000.00 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.07 / $2,048.03 / $6,379.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,658.00 / $2,760.25 / $3,589.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,099.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,605.11 / $2,392.87 / $8,136.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.15 / $2,891.61 / $4,952.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.32 / $2,874.28 / $4,205.95