go back

Georgia 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
$2,520.71 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.42 / $2,644.91 / $5,014.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.26 / $4,412.76 / $8,702.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,212.69 / $3,357.91 / $6,164.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,497.45 / $3,497.45 / $3,497.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,500.00 / $2,718.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,298.67 / $3,640.82 / $6,191.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,624.89 / $3,579.39 / $5,917.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,179.05 / $3,217.57 / $5,574.50