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South Dakota rates for HCPCS 21261

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

Facilitymedian $3,715 · 10th–90th $2,399–$5,1290%20%10th90th$3,715Professionalmedian $3,162 · 10th–90th $2,239–$5,8880%20%10th90th$3,162$2.0K$5.0K$10.0K

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
$2,398.83 / $2,398.83 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,398.83 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,495.41 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,981.07 / $5,495.41
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $4,168.69 / $18,620.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,623.41 / $5,623.41
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $4,677.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,630.78 / $4,677.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,801.89 / $6,456.54
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,754.40 / $5,754.40