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West Virginia 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
$1,400.00 / $1,963.11 / $3,015.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.39 / $2,098.03 / $2,602.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,101.58 / $2,335.64 / $2,544.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.41 / $2,261.98 / $2,261.98
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
$1,921.22 / $2,679.31 / $5,232.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.08 / $2,058.98 / $3,110.22