go back

Nebraska 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
$2,210.77 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,210.77 / $2,210.77 / $12,969.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,086.90 / $11,951.75 / $23,118.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.67 / $3,613.07 / $4,817.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,454.00 / $5,416.30 / $7,364.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,210.77 / $3,868.85 / $8,757.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,001.51 / $4,502.26 / $6,805.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,501.05 / $5,143.80 / $7,506.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,431.00 / $4,759.46 / $7,364.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,001.51 / $4,875.18 / $5,814.62