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Washington, DC 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
$1,698.24 / $2,511.89 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,454.71 / $6,309.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $2,691.53 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,951.21 / $6,760.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $16,218.10 / $33,884.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,235.94 / $6,760.83