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Massachusetts 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
$1,076.98 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.98 / $1,383.17 / $2,155.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,507.51 / $4,751.20 / $11,028.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.03 / $2,318.76 / $14,907.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.95 / $2,181.96 / $3,973.14
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,152.78 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.49 / $1,893.90 / $2,597.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.01 / $3,350.28 / $4,419.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $13,773.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.19 / $2,514.42 / $14,907.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.75 / $2,260.32 / $4,552.13