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Maryland rates for HCPCS 21260

Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.94 / $1,426.43 / $1,571.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.99 / $1,330.99 / $1,760.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $641.21 / $2,754.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.33 / $1,697.68 / $3,146.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.57 / $1,844.15 / $2,416.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.50 / $1,579.13 / $3,111.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.36 / $1,644.01 / $2,023.67