go back

Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.02 / $1,867.58 / $2,796.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,502.28 / $3,502.28 / $3,512.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.16 / $2,043.16 / $2,434.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.78 / $2,293.94 / $3,355.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,202.12 / $2,402.32 / $3,191.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,887.62 / $2,374.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,322.17 / $2,731.98 / $3,191.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.84 / $1,964.89 / $2,807.00