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Colorado rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,495.41 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $851.14 / $1,949.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $11,481.54 / $23,988.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,230.27 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $5,370.32 / $16,595.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,122.02 / $1,778.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,096.48 / $4,168.69
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $12,022.64 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $2,089.30