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Oklahoma 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
$1,346.00 / $3,742.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.88 / $1,434.35 / $1,452.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,703.09 / $4,703.09 / $4,703.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.63 / $1,759.97 / $2,093.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,290.92 / $1,862.00 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.90 / $1,480.70 / $14,907.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.48 / $1,355.16 / $2,040.54