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Indiana 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
$1,272.13 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.88 / $1,272.13 / $1,717.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.40 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.97 / $1,462.80 / $2,018.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.46 / $1,598.30 / $1,844.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.46 / $1,475.35 / $1,844.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.74 / $3,909.74 / $4,634.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.31 / $1,570.44 / $2,654.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.00 / $1,409.48 / $2,599.19