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Florida rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.22 / $4,790.00 / $13,066.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.44 / $827.02 / $1,103.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $3,695.46 / $4,399.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.43 / $1,059.39 / $1,723.51
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.23 / $782.63 / $970.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $604.41 / $1,075.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.59 / $880.59 / $1,600.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.61 / $652.61 / $756.96