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Texas 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
$1,086.00 / $3,617.00 / $12,480.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.76 / $2,023.79 / $3,208.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,962.24 / $3,375.67 / $8,317.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.79 / $2,275.54 / $3,092.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,775.03 / $1,798.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,252.73 / $2,252.73 / $2,252.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,894.95 / $2,596.14 / $3,865.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $27,454.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29,283.99 / $29,283.99 / $29,283.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,801.09 / $2,323.89 / $3,977.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.63 / $2,938.35 / $3,643.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,799.70 / $1,799.70 / $1,799.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,801.09 / $2,368.94 / $4,492.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,917.98 / $2,724.64 / $4,134.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.31 / $2,119.13 / $3,307.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.86 / $1,897.56 / $2,639.60