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Utah 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
$2,610.10 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.84 / $2,610.10 / $10,753.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,881.19 / $2,670.75 / $4,325.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.15 / $1,154.22 / $1,867.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,238.37 / $10,273.82 / $14,749.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,616.98 / $3,144.28 / $4,633.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.08 / $2,102.01 / $3,361.55