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Alaska rates for HCPCS 21261

Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,951.65 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,255.94 / $11,790.24 / $11,790.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,010.25 / $8,101.99 / $10,382.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,271.06 / $11,790.24 / $16,506.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,908.90 / $7,090.68 / $14,394.79
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,898.75 / $11,559.60 / $14,508.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,271.06 / $11,790.24 / $16,506.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,579.49 / $10,668.00 / $15,789.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,481.60 / $11,342.80 / $14,259.52