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Rhode Island rates for HCPCS 21268

Orbital Repositioning W/Bone Grafts Icra & Xtrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.72 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.00 / $2,417.40 / $2,602.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,727.55 / $2,391.07 / $3,455.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,431.96 / $2,970.31 / $4,218.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.61 / $2,924.20 / $4,118.78