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Delaware rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $7,265.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.69 / $845.75 / $845.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,067.61 / $4,067.61 / $4,067.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.29 / $866.25 / $1,525.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.62 / $864.53 / $1,931.26