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Arizona rates for HCPCS 21260

Periorbital Osteotomies Bone Grafts Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,819.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.47 / $1,321.41 / $7,344.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,934.39 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.57 / $1,620.08 / $2,025.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.33 / $1,593.42 / $2,657.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,237.78 / $1,742.52 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.97 / $1,443.60 / $14,907.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.16 / $1,323.30 / $2,653.83