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Vermont rates for HCPCS 21268

Orbital Repositioning W/Bone Grafts Icra & Xtrc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,224.21 / $2,224.21 / $2,375.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.84 / $3,362.00 / $4,589.82
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,121.21 / $3,035.64 / $4,589.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,193.28 / $2,835.85 / $8,380.49