go back

Arkansas 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
$1,277.00 / $2,623.63 / $4,296.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,141.91 / $2,844.45 / $3,143.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,430.62 / $5,430.62 / $6,516.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,544.62 / $3,180.78 / $3,367.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,337.37 / $4,337.37 / $4,337.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,548.80 / $3,531.82 / $4,457.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,667.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.09 / $2,836.46 / $4,536.26