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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
$2,398.83 / $2,398.83 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,398.83 / $3,890.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $15,135.61 / $42,657.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $5,754.40 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,709.64 / $20,892.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $7,079.46 / $10,471.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $8,317.64 / $16,218.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $5,888.44 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,265.80 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $4,168.69 / $13,489.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,943.28 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $4,168.69 / $8,511.38