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Nationwide rates for HCPCS 67420

Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion

Facilitymedian $6,026 · 10th–90th $1,905–$14,1250%5%10%10th90th$6,026Professionalmedian $2,455 · 10th–90th $1,479–$5,2480%10%20%10th90th$2,455$20.0$200.0$2.0K$20.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $5,248.07 / $12,302.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $8,709.64 / $16,982.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $4,570.88 / $12,882.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $5,248.07 / $12,022.64

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