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Washington, DC 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
$1,017.00 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.45 / $1,433.45 / $1,433.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.00 / $1,539.49 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.14 / $1,749.23 / $3,837.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.16 / $3,137.17 / $3,137.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.58 / $2,810.72 / $3,798.26