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California 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
$2,132.17 / $10,051.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.36 / $2,141.91 / $12,969.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,145.00 / $9,673.00 / $19,574.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,460.92 / $3,190.01 / $6,380.07
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $15,290.89
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,799.85 / $2,604.12 / $5,897.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,090.91 / $2,821.80 / $6,275.36
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.20 / $2,513.89 / $3,490.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,229.60 / $3,136.22 / $5,615.92
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $33,109.68 / $33,817.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,636.00 / $18,636.00 / $20,577.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.88 / $3,063.23 / $4,507.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.02 / $2,971.86 / $6,303.73
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,047.18 / $8,047.18 / $8,047.18
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,159.56 / $2,535.59 / $3,142.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,142.00 / $12,377.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,827.45 / $2,455.67 / $5,763.09