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Rhode Island 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
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.98 / $1,739.02 / $1,871.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.79 / $1,630.15 / $2,599.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.68 / $1,932.12 / $2,876.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.16 / $1,653.59 / $2,810.53