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Wyoming rates for HCPCS 21260

Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.95 / $1,391.12 / $1,792.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,006.39 / $5,006.39 / $5,006.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,618.00 / $3,142.00 / $4,752.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.28 / $2,364.90 / $3,803.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.09 / $2,793.08 / $4,341.57