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New Mexico 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
$1,000.00 / $2,469.53 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,015.44 / $2,469.53 / $7,701.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,040.25 / $3,308.90 / $4,342.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,470.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,099.09 / $2,809.45 / $4,550.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,226.86 / $3,483.52 / $5,974.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,423.28 / $3,342.63 / $5,091.55