go back

North Dakota rates for HCPCS 21260

Periorbital Osteotomies Bone Grafts Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.02 / $1,389.02 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.33 / $1,368.49 / $1,389.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,663.82 / $2,984.37 / $3,499.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.21 / $3,330.87 / $4,436.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,344.68 / $1,559.96 / $2,361.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.19 / $2,499.32 / $3,604.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.63 / $2,499.32 / $3,604.60