go back

Florida 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
$1,500.00 / $4,594.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.36 / $2,279.29 / $3,147.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.99 / $2,995.11 / $4,683.49
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.32 / $2,023.00 / $2,668.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.83 / $1,783.08 / $3,071.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.58 / $2,428.21 / $4,345.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.51 / $1,550.51 / $2,072.57