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Tennessee 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
$1,802.77 / $3,921.32 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,694.21 / $1,965.01 / $3,208.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.00 / $5,897.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,829.94 / $2,516.30 / $4,000.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,912.86 / $2,630.56 / $4,119.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $27,454.80 / $28,051.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29,283.99 / $29,283.99 / $29,283.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.43 / $2,222.21 / $4,081.19