go back

North Carolina rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.59 / $1,615.00 / $15,291.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.59 / $867.21 / $1,618.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.00 / $1,259.00 / $2,251.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.48 / $1,182.48 / $6,363.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.24 / $1,174.58 / $2,100.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.59 / $1,071.00 / $1,641.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.23 / $1,047.00 / $1,207.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,101.90 / $2,266.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.42 / $986.26 / $2,057.13
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,275.52 / $21,028.65 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,641.99 / $14,641.99 / $14,641.99