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Kentucky 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
$860.00 / $1,357.48 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.98 / $1,309.49 / $1,536.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $9,015.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.45 / $1,199.29 / $1,774.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.80 / $1,743.67 / $2,011.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.80 / $1,730.19 / $2,490.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.68 / $1,534.81 / $1,534.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.19 / $1,738.50 / $2,369.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,619.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.29 / $1,591.91 / $2,599.19