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Wyoming rates for HCPCS 21268

Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.93 / $2,037.66 / $2,615.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,840.00 / $4,608.00 / $6,971.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,510.52 / $3,765.78 / $5,573.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,080.48 / $4,097.68 / $6,793.80