go back

New York 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
$2,141.91 / $4,374.55 / $10,296.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,132.17 / $2,531.44 / $4,609.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.97 / $2,590.44 / $5,496.49
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,461.11 / $3,461.11 / $13,477.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,461.11 / $3,461.11 / $3,461.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,718.09 / $2,718.09 / $2,718.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,297.46 / $3,537.34 / $8,940.96
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,580.92 / $6,370.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,839.02 / $3,788.99 / $5,464.27
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,255.35 / $2,255.35 / $2,255.35
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,804.28 / $2,879.83 / $5,080.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $2,718.09
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,459.57 / $3,476.01 / $8,379.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $14,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,181.69 / $3,065.31 / $7,404.85
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,879.83 / $2,879.83 / $10,444.35
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,804.28 / $3,143.06 / $6,087.49