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Massachusetts 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
$1,898.38 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.38 / $2,373.00 / $3,813.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $6,039.14 / $13,773.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,299.82 / $4,001.10 / $18,636.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,320.77 / $3,811.17 / $7,010.56
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $3,504.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,760.51 / $3,343.88 / $4,570.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,992.95 / $5,933.22 / $7,826.86
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $26,916.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,501.77 / $4,450.88 / $18,636.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.94 / $3,432.79 / $8,027.44