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Maryland rates for HCPCS 21261

Periorbital Osteotomies W/Bone Grafts Icra & Xtr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,141.91 / $2,407.78 / $2,783.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,105.76 / $2,280.00 / $2,713.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,054.55 / $2,927.61 / $5,499.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,530.54 / $3,264.60 / $4,261.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.97 / $2,729.75 / $5,134.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,072.57 / $2,910.30 / $3,582.40