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New York rates for HCPCS 21261

Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach

Facilitymedian $5,754 · 10th–90th $2,630$12,0230%10%10th90th$5,754Professionalmedian $2,692 · 10th–90th $2,042$6,6070%20%10th90th$2,692$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,890.45 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,570.40 / $6,025.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,762.47 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,511.89 / $5,754.40
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $13,489.63
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $4,073.80 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,548.13 / $10,471.29
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,754.23 / $8,511.38
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,630.78 / $5,495.41
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,162.28 / $5,128.61
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $3,235.94 / $5,370.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,495.41 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,311.31 / $10,000.00
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,884.03 / $9,332.54
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,019.95 / $6,760.83