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Ohio 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
$1,309.49 / $4,752.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.92 / $1,335.62 / $2,434.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.00 / $4,426.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.37 / $1,382.69 / $2,149.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.05 / $1,305.88 / $1,901.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.07 / $1,408.30 / $1,792.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.95 / $1,790.26 / $2,481.11
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,534.81 / $1,534.81 / $1,534.81
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.95 / $1,792.38 / $2,506.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $936.50 / $1,600.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.33 / $1,659.25 / $2,828.89