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Minnesota 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
$1,368.49 / $1,368.49 / $1,368.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.07 / $1,368.95 / $2,155.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,034.89 / $11,496.91 / $21,650.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,372.03 / $3,822.32 / $4,987.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.61 / $4,677.41 / $11,252.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,469.25 / $3,933.46 / $5,841.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,996.91 / $4,276.27 / $8,859.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,235.58 / $3,516.78 / $5,357.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.01 / $2,362.12 / $5,331.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.61 / $2,577.30 / $5,557.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.75 / $2,939.97 / $5,424.57