go back

Hawaii 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
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.76 / $1,337.76 / $1,337.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.76 / $1,731.26 / $2,077.52
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,834.89 / $2,008.08 / $2,370.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.51 / $1,662.01 / $1,939.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.79 / $1,731.26 / $2,264.94
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,253.89 / $1,976.42