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Alaska rates for HCPCS 21260

Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,896.93 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.89 / $6,609.35 / $6,609.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,377.76 / $4,532.78 / $5,875.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.89 / $6,609.35 / $9,253.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,336.55 / $4,003.86 / $8,128.22
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,023.75 / $6,590.00 / $8,198.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,279.25 / $6,609.35 / $9,253.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.91 / $6,590.00 / $8,929.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,802.05 / $5,470.53 / $7,977.68