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Arizona rates for HCPCS 21261

Periorbital Osteotomies W/Bone Grafts Icra & Xtr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,819.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.36 / $2,192.17 / $12,969.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,934.39 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,509.00 / $2,867.42 / $3,584.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.35 / $2,823.01 / $4,710.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.32 / $3,067.55 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.02 / $2,555.27 / $18,636.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,896.48 / $2,346.96 / $4,638.54