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Minnesota 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
$2,408.92 / $2,408.92 / $2,408.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,351.09 / $2,417.48 / $3,813.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,610.82 / $13,882.05 / $23,682.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,221.83 / $6,764.36 / $8,509.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,802.73 / $8,233.24 / $19,806.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,349.18 / $6,928.15 / $10,289.36
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,275.21 / $7,527.16 / $15,595.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,937.61 / $6,194.23 / $9,435.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,445.96 / $4,078.64 / $7,195.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.69 / $4,484.79 / $9,813.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,489.69 / $4,276.20 / $9,620.85