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West Virginia 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
$1,335.62 / $1,400.00 / $2,048.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.07 / $1,433.45 / $1,871.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.19 / $1,586.22 / $1,728.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.21 / $1,536.19 / $1,536.19
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
$1,308.13 / $1,734.79 / $3,739.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.83 / $1,425.29 / $2,112.26