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Florida 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
$1,097.94 / $4,594.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.10 / $1,339.93 / $1,792.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $2,907.91 / $3,461.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.22 / $1,699.28 / $2,656.52
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.16 / $1,145.21 / $1,499.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.82 / $984.93 / $1,726.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.87 / $1,333.61 / $2,662.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.80 / $885.80 / $1,163.36