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Hawaii 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
$2,818.38 / $2,818.38 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,398.83 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,454.71 / $3,388.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,801.89 / $4,365.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,630.27 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,570.40 / $3,981.07
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $2,187.76 / $3,801.89