go back

Connecticut rates for HCPCS 21261

Periorbital Osteotomies W/Bone Grafts Icra & Xtr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,148.63 / $5,194.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.38 / $2,520.71 / $6,002.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,920.00 / $11,936.00 / $15,915.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,157.61 / $4,169.70 / $5,661.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,026.98 / $4,102.52 / $6,172.85
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,330.14 / $4,873.00 / $4,974.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.10 / $3,174.42 / $3,975.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,644.00 / $8,468.00 / $13,943.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,181.69 / $4,027.04 / $7,096.32