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New Hampshire 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
$100.00 / $2,288.06 / $4,750.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.98 / $1,427.69 / $1,778.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.62 / $2,246.34 / $3,411.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,534.81 / $1,534.81 / $1,534.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.11 / $2,590.82 / $4,047.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.86 / $2,506.61 / $4,715.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.47 / $2,358.86 / $4,683.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.18 / $1,214.59 / $1,545.85