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Missouri 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
$1,431.64 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.88 / $1,380.31 / $2,162.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.43 / $1,568.35 / $2,422.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.94 / $1,768.61 / $3,033.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.06 / $1,876.95 / $4,813.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.07 / $1,856.35 / $14,907.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.21 / $1,717.14 / $2,986.34